Individual provider Active NPI

Henry Jackson Kiser, MD

  • Internal Medicine Physician
  • Bossier City, LA
National Provider Identifier
1841235488
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022656 Issued in LA
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

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1494836MedicaidLA

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
I20040804001359 LA Practitioner - Internal MedicinePractitioner - Nephrology 6002887809 Reassigns benefits to 1 organization

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
WK Bossier HospitalistsGroup PAC ID 4486729639, 23 clinicians

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 Home health agency, Minden, LA, CCN 197446
  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Minden Medical Center Hospital, Minden, LA, CCN 190144
  • Ochsner Lsu Health Shreveport Hospital, Shreveport, LA, CCN 190098
  • Intensive Specialty Hospital Inpatient rehabilitation facility, Shreveport, LA, CCN 19TA10
  • Intensive Specialty Hospital Long-term care hospital, Shreveport, LA, CCN 192010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022656LAMDInternal Medicine Physician
MD.022656LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Henry Kiser LLC Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
WK Bossier Hospitalists CurrentSince Oct 1, 2013 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.