Shreveport Internal Medicine and Pediatrics LLC
NPI 1710041900 · Internal Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shreveport Internal Medicine and Pediatrics LLC is a Internal Medicine Physician organization in Shreveport, LA (NPI 1710041900).
Provider details
- NPI number
- 1710041900
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allan Matriano Lim, Owner(318) 588-0880
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
19 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
- 2006-12-21
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Shreveport Internal Medicine and Pediatrics LLC's NPI number?
- Shreveport Internal Medicine and Pediatrics LLC's National Provider Identifier (NPI) is 1710041900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shreveport Internal Medicine and Pediatrics LLC?
- Shreveport Internal Medicine and Pediatrics LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shreveport Internal Medicine and Pediatrics LLC located?
- Shreveport Internal Medicine and Pediatrics LLC's practice location on file with NPPES is 10401 E Kings Hwy, Shreveport, LA 71115-3227.
- What is Shreveport Internal Medicine and Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for Shreveport Internal Medicine and Pediatrics LLC is (318) 558-0880.
- Does Shreveport Internal Medicine and Pediatrics LLC accept Medicare?
- Shreveport Internal Medicine and Pediatrics LLC 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 Shreveport Internal Medicine and Pediatrics LLC?
- The authorized official listed on Shreveport Internal Medicine and Pediatrics LLC's NPPES record is Allan Matriano Lim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shreveport Internal Medicine and Pediatrics LLC's NPI active?
- Yes — Shreveport Internal Medicine and Pediatrics LLC's NPI (1710041900) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.