Wk Pines Road Family Medicine
NPI 1629210042 · Family Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wk Pines Road Family Medicine is a Family Medicine Physician organization in Shreveport, LA (NPI 1629210042).
Provider details
- NPI number
- 1629210042
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Ward, Sr Vp Finance(318) 716-4939
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
17 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
- 2009-03-31
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Wk Pines Road Family Medicine's NPI number?
- Wk Pines Road Family Medicine's National Provider Identifier (NPI) is 1629210042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wk Pines Road Family Medicine?
- Wk Pines Road Family Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wk Pines Road Family Medicine located?
- Wk Pines Road Family Medicine's practice location on file with NPPES is 9111 Susan Dr, Shreveport, LA 71118-3136.
- What is Wk Pines Road Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Wk Pines Road Family Medicine is (318) 212-5969.
- Does Wk Pines Road Family Medicine accept Medicare?
- Wk Pines Road Family Medicine 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 Pines Road Family Medicine?
- The authorized official listed on Wk Pines Road Family Medicine's NPPES record is Mary Ward, Sr Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wk Pines Road Family Medicine's NPI active?
- Yes — Wk Pines Road Family Medicine's NPI (1629210042) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.