Individual provider Active NPI

Matthew Ryan Migneron, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • New Orleans, LA
National Provider Identifier
1265921704
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A182830 Issued in CA
Practice address
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone
(504) 988-5263
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 340611 LA
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A182830 CA Primary

Addresses

Primary practice location

1415 Tulane Ave
New Orleans, LA 70112-2600

Mailing address

424 22ND St
New Orleans, LA 70124-1313
Phone (314) 479-5777

Other practice location 1

101 The City Dr S # 2
Orange, CA 92868-3201
Phone (263) 954-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230505002365 CA Practitioner - Otolaryngology 9133472129 Reassigns benefits to 1 organization
I20240826001789 LA Practitioner - Otolaryngology 9133472129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 988-5224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340611LAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Head & Neck Surgeons Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2024 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

250 E Yale Loop
Ste 200
Irvine, CA 92604
Phone (949) 225-6300

101 The City Dr S
#2
Orange, CA 92868
Phone (263) 954-7800

101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731

101 The City Dr S
Bldg 30A
Orange, CA 92868

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4720 S I 10 Service Rd W
Ste 501
Metairie, LA 70001
Phone (504) 456-6701

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

2000 Canal St
Fl 3
New Orleans, LA 70112

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

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

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1265921704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 22ND ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241313",
            "telephone_number": "314-479-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S # 2",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "263-954-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGNERON",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "LA",
            "license": "340611",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A182830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.