Active NPI
Robert W McMillan, M.D.
- Transplant Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 06902R
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1390801 | Medicaid | LA | |
| 5K315F600 | Other | LA | MEDICARE - 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06902R | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Surgery | Current | Accepting new patients |
| WK Transplant Physicians | Transplant Surgery | Current | Accepting new patients |
| WK Advanced Surgery Center | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Shreveport, LA
- NPI 1609110634
-
- Transplant Surgery Physician
- Shreveport, LA
- NPI 1528307238
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Surgery
-
dba LSUHSC-S Department of Surgery
- Surgery Physician
- Shreveport, LA
- NPI 1104860121
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Louisiana Medical Center
- General Acute Care Hospital
- Ruston, LA
- NPI 1962024026
-
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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.