Individual provider Active NPI

Robert W McMillan, M.D.

  • Transplant Surgery Physician
  • Shreveport, LA
National Provider Identifier
1972526598
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
06902R Issued in LA
Practice address
2751 Albert Bicknell Dr
Ste. 4a
Shreveport, LA 71103
Phone
(318) 212-4275
Fax
(318) 212-8511
NPI assigned
Jul 25, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 06902R LA Primary
Surgery Physician 208600000X 06902R LA

Addresses

Primary practice location

2751 Albert Bicknell Dr
Ste. 4a
Shreveport, LA 71103

Mailing address

2751 Albert Bicknell Dr
Ste 4a
Shreveport, LA 71103
Phone (318) 212-4275

Other identifiers 2

IdentifierTypeStateIssuer
1390801MedicaidLA
5K315F600OtherLAMEDICARE - PTAN

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
I20100830000618 LA Practitioner - General SurgeryPractitioner - Other (Physician) 3577642255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Transplant PhysiciansGroup PAC ID 2365689627, 5 clinicians
WK Advanced Surgery CenterGroup PAC ID 9436302890, 6 clinicians

Practice addresses (Care Compare)

2751 Albert L Bicknell Dr
FL 4
Shreveport, LA 71103-3920
Phone (318) 212-4275

2751 Albert L Bicknell Dr
Suite 2B
Shreveport, LA 71103-3939
Phone (218) 212-8350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06902RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Surgery CurrentSince Jan 1, 2019 Accepting new patients
WK Transplant Physicians Transplant Surgery CurrentSince Feb 1, 2013 Accepting new patients
WK Advanced Surgery Center Surgery CurrentSince Jan 1, 2013 Accepting new patients
Louisiana State University Health Sciences Center Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

2751 Albert L Bicknell Dr
Fl 4
Shreveport, LA 71103
Phone (318) 212-4275

2751 Albert L Bicknell Dr
Ste 2B
Shreveport, LA 71103
Phone (218) 212-8350

2751 Albert L Bicknell Dr
Ste 4
Shreveport, LA 71103

Interoperability endpoints

  • Direct secure messaging: rmcmillan@direct.wkhs.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1972526598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT BICKNELL DR",
            "address_2": "STE 4A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT BICKNELL DR",
            "address_2": "STE. 4A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-212-4275",
            "fax_number": "318-212-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "LA",
            "license": "06902R",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "06902R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1390801",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "5K315F600",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.