Individual provider Active NPI

Prajwal Kumsi Sreedhar

  • Internal Medicine Physician
National Provider Identifier
1760131783
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
349004 Issued in LA
Practice address
8001 Youree Dr
Ste 4007
Shreveport, LA 71115
UM
NPI assigned
Mar 18, 2022
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 349004 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Ste 4007
Shreveport, LA 71115
UM

Mailing address

8001 Youree Dr
Ste 4007
Shreveport, LA 71115
UM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000704 LA Practitioner - Internal Medicine 5294223285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Pierremont HospitalistsGroup PAC ID 4082669015, 24 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 4007
Shreveport, LA 71115-2302
Phone (318) 212-3821

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
349004LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Pierremont Hospitalists CurrentSince Sep 23, 2025 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

8001 Youree Dr
Ste 4007
Shreveport, LA 71115
Phone (318) 212-3821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1760131783",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "8001 YOUREE DR",
            "address_2": "STE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "8001 YOUREE DR",
            "address_2": "STE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMSI SREEDHAR",
        "first_name": "PRAJWAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "349004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.