Individual provider Active NPI

Michael J. Morin, M.D.

  • Diagnostic Radiology Physician
  • Irving, TX
National Provider Identifier
1265505903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
017169 Issued in LA
Practice address
8411 Sterling St
Suite 101
Irving, TX 75063-1901
Phone
(888) 326-5522
Fax
(972) 821-0140
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 017169 LA Primary

Addresses

Primary practice location

8411 Sterling St
Suite 101
Irving, TX 75063-1901

Mailing address

804 Ridgelake Dr
Metairie, LA 70001-4255
Phone (504) 834-1312

Other identifiers 1

IdentifierTypeStateIssuer
1335185MedicaidLA

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
I20070911000712 LA Practitioner - Diagnostic Radiology 4688767346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
88.52
Promoting interoperability
100
Improvement activities
40
Cost
86.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017169LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lallie Kemp Medical Ctr CurrentSince Jul 1, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Single Specialty Current Accepting new patients
Lallie Kemp Medical Ctr Single Specialty CurrentSince Jul 1, 2012 Accepting new patients

Locations

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

478 S Johnson St
Fl 6
New Orleans, LA 70112
Phone (504) 412-1819

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

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

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

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

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 7

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265505903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 RIDGELAKE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014255",
            "telephone_number": "504-834-1312",
            "fax_number": "504-834-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 STERLING ST",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631901",
            "telephone_number": "888-326-5522",
            "fax_number": "972-821-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "017169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.