Individual provider Active NPI

Sevetri Moore-Guillaume, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1922041565
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016859 Issued in LA
Practice address
8001 Youree Dr
Suite 880
Shreveport, LA 71115-2302
Phone
(318) 212-3908
Fax
(318) 212-3909
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 016859 LA
Internal Medicine Physician 207R00000X 31710 MS
Internal Medicine Physician 207R00000X 016859 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Suite 880
Shreveport, LA 71115-2302

Mailing address

8001 Youree Dr
Suite 880
Shreveport, LA 71115-2302
Phone (318) 212-3908

Other practice location 1

911 Ellis Ave
Jackson, MS 39209-6256
Phone (601) 533-7016

Other identifiers 2

IdentifierTypeStateIssuer
1329517MedicaidLA
P00382860OtherLARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051116000412 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8325067630 Reassigns benefits to 1 organization
I20250210001574 MS Practitioner - Internal Medicine 8325067630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

4800 Chef Menteur Hwy
Suite a
New Orleans, LA 70126-5000
Phone (504) 534-1227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16859LAMDSocial Worker
016859LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Mississippi, LLC Internal Medicine CurrentSince Nov 30, 2024 Accepting new patients
Oak Street Health Physicians Group of Louisiana LLC Internal Medicine CurrentSince Sep 26, 2022 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Internal Medical Associates of Doctors Hospital Internal Medicine Past Accepting new patients
Osh-in Physicians Group, PC Past Accepting new patients
McFatter Family Medical, LLC Past Accepting new patients

Locations

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

4800 Chef Menteur Hwy
Ste A
New Orleans, LA 70126
Phone (504) 534-1227

911 Ellis Ave
Jackson, MS 39209
Phone (601) 533-7016

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1922041565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 880",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3908",
            "fax_number": "318-212-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 880",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3908",
            "fax_number": "318-212-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Ellis Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392096256",
            "country_code": "US",
            "telephone_number": "601-533-7016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-GUILLAUME",
        "first_name": "SEVETRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "016859",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "31710",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "016859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1329517",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00382860",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.