Active NPI
Irene Scaltsas, MD
- Neurology Physician
- Shreveport, LA
National Provider Identifier
1770587537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11943R
- Practice address
- 417 Dru Cir
Shreveport, LA 71106-2311 - Phone
- (318) 423-1048
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 11943R | LA | Primary |
Addresses
Primary practice location
417 Dru Cir
Shreveport, LA 71106-2311
Mailing address
417 Dru Cir
Shreveport, LA 71106-2311
Phone (318) 423-1048
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189185501 | Other | TX | TEXAS MEDICAID |
| 1053315846 | Other | LA | GROUP NPI NUMBER |
| 1684953 | Medicaid | LA | |
| 130015368 | Other | LA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11946R | LA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1770587537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 DRU CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062311",
"telephone_number": "318-423-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 DRU CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062311",
"telephone_number": "318-423-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALTSAS",
"first_name": "IRENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "11943R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAID",
"identifier": "189185501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1053315846",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684953",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130015368",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.