Michael Maddox, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD.205949 Issued in LA

Practice address

200 W Esplanade Ave
Suite 210
Kenner, LA 70065-2489

Phone

(504) 464-8588

Fax

(504) 464-8586

NPI assigned

Jun 26, 2008

Last updated

Nov 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Urology

Education

University of Tennessee, HSC, College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
• St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmaddox306490@direct.ochsner.org
• Direct secure messaging: mmaddox5284712@direct.casso.us.com

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner Health Center Lakeview

  • General Practice Physician
  • New Orleans, LA
  • NPI 1629232517
  NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• Ochsner Clinic LLC

  dba Ochsner Clinic LLC (BR)

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1407848443
  NPD (past)
• Ochsner Pharmacy and Wellness, LLC

  dba Ochsner Pharmacy and Wellness - Main Campus Atrium

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824
  NPD (past)

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

• Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la

  dba St. Charles Parish Hospital

  • General Acute Care Hospital
  • Luling, LA
  • NPI 1295716637
  Care Compare affiliation
• Ochsner Bayou LLC

  dba Ochsner St. Anne General Hospital

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation
• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936
  Care Compare affiliation
• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1356503833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212483",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-464-8588",
            "fax_number": "504-464-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "MD.205949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02158023",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339109",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana State University School of Medicine in New Orleans Faculty G (Lsu Healthcare Network)
• Louisiana State University School of Medicine in New Orleans Faculty G (New Orleans Lsu Anesthesia)
• Lourdes Murra MD
• Hanna Kaufman Lurye
• Henry Augustus Lutterodt
• Jayesh Madrecha, DO
• Vinicio Eduardo Madrigal Sr., MD
• Lauren Maenza, DDS
• Brandon Christopher Mahl, D.C.
• Hung Mai, AU.D.

• Urology Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.