Individual provider Active NPI

Taeyong Choi, M.D.

  • Surgery Physician
  • Shreveport, LA
National Provider Identifier
1790149557
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
326115 Issued in LA
Practice address
2751 Albert L Bicknell Dr FL 4
Shreveport, LA 71103-3920
Phone
(318) 212-4275
Fax
(318) 212-4555
NPI assigned
Apr 7, 2016
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 326115 LA
Surgery Physician 208600000X 326115 LA Primary

Addresses

Primary practice location

2751 Albert L Bicknell Dr FL 4
Shreveport, LA 71103-3920

Mailing address

2751 Albert L Bicknell Dr FL 4
Shreveport, LA 71103-3920
Phone (318) 212-4275

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
I20230818001258 LA Practitioner - General Surgery 2860787959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Transplant PhysiciansGroup PAC ID 2365689627, 5 clinicians
WK Advanced Surgery CenterGroup PAC ID 9436302890, 6 clinicians

Practice addresses (Care Compare)

2751 Albert L Bicknell Dr
FL 4
Shreveport, LA 71103-3920
Phone (318) 212-4275

2751 Albert L Bicknell Dr
Suite 2B
Shreveport, LA 71103-3939
Phone (218) 212-8350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326115LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Transplant Physicians Transplant Surgery CurrentSince Aug 1, 2023 Accepting new patients
WK Advanced Surgery Center Surgery CurrentSince Aug 1, 2023 Accepting new patients
WK Regional Transplant Center Transplant Surgery PastSince Aug 1, 2023 Accepting new patients
WK Urgent Care Center-Pierremont Past Accepting new patients

Locations

5751 Shed Rd
Ste 100
Bossier City, LA 71111
Phone (318) 935-1900

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2751 Albert L Bicknell Dr
Fl 4
Shreveport, LA 71103
Phone (318) 212-4275

2751 Albert L Bicknell Dr
Ste 2B
Shreveport, LA 71103
Phone (218) 212-8350

2751 Albert L Bicknell Dr
Ste 4
Shreveport, LA 71103

Interoperability endpoints

  • Direct secure messaging: tchoi@direct.wkhs.com

Organizations & group practices 4

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1790149557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR FL 4",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR FL 4",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033920",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "TAEYONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "LA",
            "license": "326115",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "326115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.