NPIMap

Individual provider Active NPI

Krishna R. Singh, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1982713657
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LA09508R Issued in LA
Practice address
6821 Pines Rd Ste 400
Shreveport, LA 71129-2547
Phone
(318) 686-5255
NPI assigned
Aug 29, 2006
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LA09508R LA Primary

Addresses

Primary practice location

6821 Pines Rd Ste 400
Shreveport, LA 71129-2547

Mailing address

PO Box 17798
Shreveport, LA 71138-0798
Phone (318) 686-5255

Other practice location 1

6047 Five Oaks Dr Ste D
Shreveport, LA 71129-2596
Phone (318) 686-5255

Other identifiers 1

IdentifierTypeStateIssuer
1952168MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000168 LA Practitioner - Internal Medicine 1254470545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6821 Pines Rd
Suite 400
Shreveport, LA 71129-2547
Phone (318) 686-5255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA09508RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Krishna R. Singh MD Apmc Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
Dharam P Gurwara Apmc Past Accepting new patients
Virginia Hall Nursing Home Past Accepting new patients
Heritage Manor West LLC PastSince Jan 9, 2020 Accepting new patients

Locations

6047 Five Oaks Dr
Ste D
Shreveport, LA 71129
Phone (318) 686-5255

6821 Pines Rd
Ste 400
Shreveport, LA 71129
Phone (318) 686-5255

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage Manor WestShreveport, LA, CCN 195447 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 9, 2020
Jan 9, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1982713657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17798",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711380798",
            "telephone_number": "318-686-5255",
            "fax_number": "318-686-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 PINES RD STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292547",
            "telephone_number": "318-686-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6047 Five Oaks Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711292596",
            "country_code": "US",
            "telephone_number": "318-686-5255",
            "fax_number": "318-686-5239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KRISHNA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "LA09508R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952168",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.