NPIMap

Individual provider Active NPI

Mark Wegmann, M.D.

  • Gastroenterology Physician
  • Metairie, LA
National Provider Identifier
1114095965
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
025641 Issued in LA
Practice address
4228 Houma Blvd
Suite 520
Metairie, LA 70006-3000
Phone
(504) 456-8020
Fax
(504) 456-8021
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Louisiana Medical Associates 112 clinicians
Texas Digestive Disease Consultants, PLLC 616 clinicians

Practice addresses (Care Compare)

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

4224 Houma Blvd
Suite 400
Metairie, LA 70006-2937
Phone (504) 456-8020

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Upper gastrointestinal (GI) endoscopy for acid reflux124

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
I20050203000080 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 2961453303 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates Gastroenterology CurrentSince Sep 16, 2024 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince May 1, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
South Louisiana Medical Associates Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 1, 2021 Accepting new patients
South Louisiana Medical Associates CurrentSince Sep 16, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 1, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

1900 Industrial Blvd
Houma, LA 70363

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 456-8020

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 456-8020

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Networks

  • LA PPO C-SNP

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 025641 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

4228 Houma Blvd
Suite 520
Metairie, LA 70006-3000

Mailing address

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
04340MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2013.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1114095965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-349-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 520",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-456-8020",
            "fax_number": "504-456-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMANN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "025641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04340",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.