Active NPI
Henry Jackson Kiser, MD
- Internal Medicine Physician
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 022656
- Practice address
- 2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385 - Phone
- (318) 212-7990
- Fax
- (318) 212-7995
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022656 | LA | Primary |
| Internal Medicine Physician | 207R00000X | MD.022656 | LA |
Addresses
Primary practice location
2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385
Mailing address
2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385
Phone (318) 212-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1494836 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385
2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2386
Phone (318) 212-7990
Hospital & facility affiliations
- Primestar Home Health of Nwla, Inc
- Elara Caring
- Willis Knighton Medical Center
- Minden Medical Center
- Ochsner Lsu Health Shreveport
- Intensive Specialty Hospital
- Intensive Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022656 | LA | MD | Internal Medicine Physician |
| MD.022656 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Henry Kiser LLC | Internal Medicine | Current | Accepting new patients |
| WK Bossier Hospitalists | Current | Accepting new patients | |
| Arc of Acadiana, Inc | Past | Accepting new patients | |
| Arc of Acadiana, Inc | Past | Accepting new patients | |
| Delta Nephrology LLC | Past | Accepting new patients | |
| Arc of Acadiana, Inc | Past | Accepting new patients | |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients | |
| Nephrology Consultants LLC | Past | Accepting new patients |
Locations
2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990
2525 Viking Dr
Bossier City, LA 71111
Phone (318) 425-4096
8001 Youree Dr
Ste 4007
Shreveport, LA 71115
Phone (318) 212-3821
1800 Irving Pl
Shreveport, LA 71101
Phone (318) 227-4661
8001 Youree Dr
Ste 880
Shreveport, LA 71115
Phone (318) 212-3908
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1053989053
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bossier City, LA
- NPI 1134479066
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1285201137
-
- Nephrology Physician
- Shreveport, LA
- NPI 1356713440
-
- Nephrology Physician
- Shreveport, LA
- NPI 1265541312
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bossier City, LA
- NPI 1053485961
-
- Long Term Care Hospital
- Shreveport, LA
- NPI 1528622065
Inpatient rehabilitation facility
-
- Adult Mental Health Clinic/Center
- Shreveport, LA
- NPI 1598344848
Long-term care hospital
-
- Rehabilitation Hospital Unit
- Shreveport, LA
- NPI 1770365009
Inpatient rehabilitation facility
-
- Home Health Agency
- Minden, LA
- NPI 1952350456
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
Hospital
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1841235488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 HOSPITAL DR",
"address_2": "SUITE 130",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112385",
"telephone_number": "318-212-7990",
"fax_number": "318-212-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL DR",
"address_2": "SUITE 130",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112385",
"telephone_number": "318-212-7990",
"fax_number": "318-212-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "HENRY",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "022656",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.022656",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1494836",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.