Organization Active NPI

Louisiana Arthritis and Rheumatology,LLC

  • Rheumatology Physician
  • Shreveport, LA
National Provider Identifier
1962794404
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
LOUISIANA ARTHRITIS AND RHEUMATOLOGY,LLC
Practice address
8508 Line Ave Ste C
Shreveport, LA 71106-6131
Phone
(318) 219-7704
Fax
(318) 219-7752
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Kyla Lokitz, M.D.NPI 1013132653
Title
Owner
Phone
(318) 219-7704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

8508 Line Ave Ste C
Shreveport, LA 71106-6131

Mailing address

PO Box 6860
Shreveport, LA 71136-6860
Phone (318) 219-7704

Other identifiers 2

IdentifierTypeStateIssuer
1060828MedicaidLA
P01005688OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000146 LA Part B Supplier - Clinic/Group Practice 8820276561 Receives reassigned benefits from 1 practitioner
Practice locations: Minden, LA; Shreveport, LA

National Provider Directory

National Provider Directory

Locations

457 Ashley Ridge Blvd
Ste C
Shreveport, LA 71106
Phone (318) 219-7704

8508 Line Ave
Ste C
Shreveport, LA 71106
Phone (318) 219-7704

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1962794404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6860",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711366860",
            "telephone_number": "318-219-7704",
            "fax_number": "318-219-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 LINE AVE STE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066131",
            "telephone_number": "318-219-7704",
            "fax_number": "318-219-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ARTHRITIS AND RHEUMATOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "LOKITZ",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-219-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060828",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01005688",
            "state": "LA"
        }
    ],
    "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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.