Active NPI
Indira Sastry and Willis-Knighton
- Pulmonary Disease Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- INDIRA SASTRY AND WILLIS-KNIGHTON
- Practice address
- 2533 Bert Kouns Loop
Suite 106
Shreveport, LA 71118-3158 - Phone
- (318) 212-5976
- Fax
- (318) 212-5986
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg J. Gavin
- Title
- Network Administrator
- Phone
- (318) 212-5976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
2533 Bert Kouns Loop
Suite 106
Shreveport, LA 71118-3158
Mailing address
2533 Bert Kouns Loop
Suite 106
Shreveport, LA 71118-3158
Phone (318) 212-5976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448877 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1144267451
Member Of
Locations
2514 Bert Kouns Industrial Loop
Ste 5
Shreveport, LA 71118
Phone (318) 212-5976
2508 Bert Kouns Industrial Loop
Ste 300
Shreveport, LA 71118
Phone (318) 212-5757
2508 Bert Kouns Industrial Loop
Ste 304B
Shreveport, LA 71118
Phone (318) 212-5976
1666 E Bert Kouns Industrial Loop
Ste 225
Shreveport, LA 71105
Phone (318) 524-9101
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Shreveport, LA
- NPI 1659367175
-
- Internal Medicine Physician
- Spring, TX
- NPI 1013039841
-
- Critical Care Medicine (Internal Medicine) Physician
- Mobile, AL
- NPI 1093790032
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380585600000",
"number": "1972569846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 BERT KOUNS LOOP",
"address_2": "SUITE 106",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183158",
"telephone_number": "318-212-5976",
"fax_number": "318-212-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2533 BERT KOUNS LOOP",
"address_2": "SUITE 106",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183158",
"telephone_number": "318-212-5976",
"fax_number": "318-212-5986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIRA SASTRY AND WILLIS-KNIGHTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2013-10-01",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
"authorized_official_telephone_number": "318-212-5976"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1448877",
"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 Oct 1, 2013; 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.