Individual provider Active NPI

James Frederick Smith, M.D.

  • Interventional Cardiology Physician
  • Shreveport, LA
National Provider Identifier
1881684256
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.019480 Issued in LA
Practice address
1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Phone
(318) 798-9400
Fax
(318) 795-4656
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.019480 LA
Interventional Cardiology Physician 207RI0011X MD.019480 LA Primary

Addresses

Primary practice location

1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810

Mailing address

PO Box 51008
Shreveport, LA 71135-1008
Phone (318) 798-9400

Other identifiers 4

IdentifierTypeStateIssuer
060052978OtherLARAILROAD MEDICARE
123394001MedicaidAR
1968722MedicaidLA
056836201MedicaidTX

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
I20100629000158 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4789688540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Louisiana State University School of Medicine in New Orleans, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular SpecialistsGroup PAC ID 7315224755, 21 clinicians

Practice addresses (Care Compare)

1453 E Bert Koun Loop
Suite 112
Shreveport, LA 71105-6810
Phone (318) 798-9400

Hospital & facility affiliations

  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as group
Quality
73.94
Promoting interoperability
97
Improvement activities
40
Cost
72.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019480LAMDPharmacist
019489LAMDPharmacist
MD.019480LAMDInterventional Cardiology Physician
10644RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Louisiana Cardiac Services LLC Current Accepting new patients
Advanced Cardiovascular Specialists Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients

Locations

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

620 E College St
Homer, LA 71040
Phone (318) 927-2024

1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.smithmd.p1@direct.acs.nextgenshare.com

Organizations & group practices 2

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 8

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1881684256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51008",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711351008",
            "telephone_number": "318-798-9400",
            "fax_number": "318-798-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUN LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056810",
            "telephone_number": "318-798-9400",
            "fax_number": "318-795-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.019480",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.019480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060052978",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123394001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1968722",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056836201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.