Wk Pediatric Intensivist
NPI 1023074549 · Pediatric Critical Care Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wk Pediatric Intensivist is a Pediatric Critical Care Medicine Physician organization in Shreveport, LA (NPI 1023074549).
Provider details
- NPI number
- 1023074549
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-3868
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-24
- Last updated
- 2018-05-09
Frequently asked questions
- What is Wk Pediatric Intensivist's NPI number?
- Wk Pediatric Intensivist's National Provider Identifier (NPI) is 1023074549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wk Pediatric Intensivist?
- Wk Pediatric Intensivist is classified in the NPPES registry as Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wk Pediatric Intensivist located?
- Wk Pediatric Intensivist's practice location on file with NPPES is 2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118-3119.
- What is Wk Pediatric Intensivist's phone number?
- The practice phone number listed in the NPPES registry for Wk Pediatric Intensivist is (318) 212-5665.
- Does Wk Pediatric Intensivist accept Medicare?
- Wk Pediatric Intensivist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wk Pediatric Intensivist?
- The authorized official listed on Wk Pediatric Intensivist's NPPES record is Greg Gavin, Network Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wk Pediatric Intensivist's NPI active?
- Yes — Wk Pediatric Intensivist's NPI (1023074549) is active in the NPPES registry as of the last update on 2018-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.