Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jibin Sam Mathew, MBBS

Individual provider Anesthesiology Physician · NPI 1306214317

Dr. Jibin Sam Mathew, MBBS is an Anesthesiology in Shreveport, Louisiana. Qualified in 2008, 18 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
18
Licensed in
LA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence 324800 (LA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 324800 (LA)

Record details

NPI number1306214317
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedSeptember 8, 2015
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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