Active NPI
Cameron Sandefur, DO
- Hospitalist Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 330029
- Practice address
- 8001 Youree Dr
Shreveport, LA 71115-2302 - Phone
- (318) 212-3821
- Fax
- (318) 212-3825
- NPI assigned
- Apr 11, 2019
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | E-14059 | AR | |
| Hospitalist Physician | 208M00000X | 330029 | LA | Primary |
Addresses
Primary practice location
8001 Youree Dr
Shreveport, LA 71115-2302
Mailing address
8001 Youree Dr
Shreveport, LA 71115-2302
Phone (318) 212-3821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
10TH
Shreveport, LA 71103-4228
Phone (318) 578-0697
8001 Youree Dr
Suite 4007
Shreveport, LA 71115-2302
Phone (318) 212-3821
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14059 | AR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Pierremont Hospitalists | Hospitalist | Current | Accepting new patients |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Cameron Sandefur, D.O., P.L.L.C. | Hospitalist | Current | Accepting new patients |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients | |
| Munoz Consulting LLC | Internal Medicine | Past | Accepting new patients |
| WK South Hospitalists | Hospitalist | Past | Accepting new patients |
Locations
8001 Youree Dr
Ste 4007
Shreveport, LA 71115
Phone (318) 212-3821
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
8001 Youree Dr
Ste 880
Shreveport, LA 71115
Phone (318) 212-3908
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
Interoperability endpoints
- cameronsandefur@sbpc.medalliesdirect.net
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.
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1003677741
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1326074832
-
dba St Bernards Surgical Associates
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1164035770
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1831357482
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PAM Specialty Hospital of Shreveport South
- Long Term Care Hospital
- Shreveport, LA
- NPI 1942857784
Long-term care hospital
-
dba Ochsner LSU Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1952864324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-3821",
"fax_number": "318-212-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-3821",
"fax_number": "318-212-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDEFUR",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-14059",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "330029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 20, 2023; 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.