Individual provider Active NPI

Michael L Hawthorne, M.D.

  • Pulmonary Disease Physician
  • Houma, LA
National Provider Identifier
1235159252
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
33315 Issued in LA
Practice address
855 Belanger St
Suite 208
Houma, LA 70360-4463
Phone
(985) 872-6210
Fax
(985) 876-7743
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 33315 LA Primary

Addresses

Primary practice location

855 Belanger St
Suite 208
Houma, LA 70360-4463

Mailing address

3525 Prytania St
Ste 526
New Orleans, LA 70115-8127
Phone (985) 872-6210

Other identifiers 2

IdentifierTypeStateIssuer
P00385330OtherLARAILROAD MEDICARE
1571431MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000769 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9537147681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3525 Prytania St
Suite 526
New Orleans, LA 70115-8127
Phone (504) 648-2500

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33315LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. CurrentSince May 1, 2020 Accepting new patients

Locations

3525 Prytania St
Ste 526
New Orleans, LA 70115
Phone (504) 648-2500

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

Interoperability endpoints

  • Direct secure messaging: mhawthorne@imsno.directbygreenway.com

Organizations & group practices 1

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 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1235159252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "STE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158127",
            "telephone_number": "985-872-6210",
            "fax_number": "985-876-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BELANGER ST",
            "address_2": "SUITE 208",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604463",
            "telephone_number": "985-872-6210",
            "fax_number": "985-876-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "33315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00385330",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571431",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.