Organization Active NPI

WK Urology

  • Urology Physician
  • Shreveport, LA
National Provider Identifier
1881484186
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WK UROLOGY
Doing business as
WK Urology
Practice address
2508 Bert Kouns Industrial Loop Ste 301
Shreveport, LA 71118-3100
Phone
(318) 212-5687
Fax
(318) 212-5692
NPI assigned
May 9, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Jared T Beville
Title
VP Physician Network
Phone
(318) 716-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop Ste 301
Shreveport, LA 71118-3100

Mailing address

2508 Bert Kouns Industrial Loop Ste 301
Shreveport, LA 71118-3100
Phone (318) 212-5687

Other names 1

  • WK Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919001510 LA Part B Supplier - Clinic/Group Practice 5597269753 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0990237WK Urology Clinic South2508 Bert Kouns, Suite 200, Shreveport, LA 71118Provider-performed microscopyAug 16, 2027
19D2325902WK Urology South2508 Bert Kouns Suite 301, Shreveport, LA 71118Provider-performed microscopyJun 22, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1881484186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183100",
            "telephone_number": "318-212-5687",
            "fax_number": "318-212-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183100",
            "telephone_number": "318-212-5687",
            "fax_number": "318-212-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "BEVILLE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "318-716-4891"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WK Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WK Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.