NPIMap

Individual provider Active NPI

Matias Javier Nauts, D.O.

  • Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1154616936
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO.000459 Issued in LA
Practice address
401 Dr Michael Debakey Dr
Suite 100 C&D
Lake Charles, LA 70601-5864
Phone
(337) 430-3150
Fax
(337) 430-3158
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X DO.000459 LA Primary

Addresses

Primary practice location

401 Dr Michael Debakey Dr
Suite 100 C&D
Lake Charles, LA 70601-5864

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 1

IdentifierTypeStateIssuer
2399837MedicaidLA

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
I20150929001520 LA Practitioner - General Surgery 6507174364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 513-0604

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
Ochsner Clinic LLC Surgery Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 8, 2015 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 8, 2015 Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

401 Dr Michael Debakey Dr
Ste 100
Lake Charles, LA 70601
Phone (337) 436-6100

1611 Foster St
Lake Charles, LA 70601
Phone (337) 433-2783

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

919 Hidden Rdg
Irving, TX 75038

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: mnauts690500@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1154616936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 100 C&D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-430-3150",
            "fax_number": "337-430-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUTS",
        "first_name": "MATIAS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "DO.000459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2399837",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.