Individual provider Active NPI

Matthew Grant Hogan, MD

  • Surgery Physician
  • Lafayette, LA
National Provider Identifier
1396249777
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
346256 Issued in LA
Practice address
4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802
Phone
(337) 470-4881
Fax
(337) 470-4882
NPI assigned
Mar 21, 2018
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 67290 TN
Surgery Physician 208600000X 346256 LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy Ste 410
Lafayette, LA 70508-8802

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-4881

Other practice location 1

1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544
Phone (901) 758-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20230627002373 TN Practitioner - General Surgery 3173870441 Reassigns benefits to 1 organization
I20250925004942 LA Practitioner - General Surgery 3173870441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

4811 Ambassador Caffery Pkwy
Suite 305
Lafayette, LA 70508-7266
Phone (337) 470-3040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Methodist Physicians LLC Surgery CurrentSince Aug 7, 2023 Accepting new patients
Lourdes Physician Group LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4809 Ambassador Caffery Pkwy
Ste 410
Lafayette, LA 70508
Phone (337) 470-3109

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

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

Interoperability endpoints

  • Direct secure messaging: mhogan129764@direct.casso.us.com
  • Direct secure messaging: mhogan30520@mlh.direct-ci.com

Organizations & group practices 2

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 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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1396249777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-4881",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY STE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088802",
            "telephone_number": "337-470-4881",
            "fax_number": "337-470-4882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047544",
            "country_code": "US",
            "telephone_number": "901-758-7970",
            "fax_number": "901-266-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MATTHEW",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "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": "TN",
            "license": "67290",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "346256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.