Hosein M Shokouh-Amiri, M.D.

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

20118 Issued in LA

Practice address

2751 Albert Bicknell Dr
Ste 4a
Shreveport, LA 71103

Phone

(318) 212-4275

Fax

(318) 212-8511

NPI assigned

Apr 21, 2006

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• WK Regional Transplant Center

  • Transplant Surgery Physician
  • Shreveport, LA
  • NPI 1093059073
  NPD
• Brfhh Shreveport LLC

  dba University Health Shreveport

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1912909912
  NPD (past)
• Louisiana State University Health Sciences Center

  dba LSUHSC-S Department of Surgery

  • Surgery Physician
  • Shreveport, LA
  • NPI 1104860121
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1831155688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT BICKNELL DR",
            "address_2": "STE 4A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT BICKNELL DR",
            "address_2": "STE 4A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOUH-AMIRI",
        "first_name": "HOSEIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TN",
            "license": "24176",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "LA",
            "license": "20118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073281",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TN",
            "identifier": "167279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123102001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shining Star Professional Services Inc
• Leslie Brooks Shinpoch, CRNA
• Faith Olivia Shipley
• Bethany Longino Shirley, APRN, NP-C
• Juliette Shivers, NUTRION PROFESSIONAL
• Sophia Tayebeh Shokouh-Amiri, MD
• Andrew Blake Sholl, M.D.
• Bryce Shonka
• Wylie Lee Shores, R.PH.
• Virginia W Short, MD

• Transplant Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Transplant Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.

Verify at the official NPI Registry.