Individual provider Active NPI

John Melvin Wise, MD

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1477556496
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12877R Issued in LA
Practice address
2820 Napoleon Ave
Ste 460
New Orleans, LA 70115
Phone
(504) 897-5121
Fax
(504) 897-9743
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12877R LA Primary

Addresses

Primary practice location

2820 Napoleon Ave
Ste 460
New Orleans, LA 70115

Mailing address

2820 Napoleon Ave
Ste 460
New Orleans, LA 70115
Phone (504) 897-5121

Other identifiers 5

IdentifierTypeStateIssuer
5255663OtherAETNA
110220987OtherRAILROAD MEDICARE
0000204504201OtherUNITED HEALTHCARE
1545759MedicaidLA
0401526OtherLAUNITED HEALTHCARE OF LA

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
I20050824000854 LA Practitioner - Internal Medicine 6901837400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2820 Napoleon Ave
Suite 460
New Orleans, LA 70115-8227
Phone (504) 321-7600

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • Covenant Home Nursing home, New Orleans, LA, CCN 195614

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12877RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John M Wise Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Protestant Home for the Aged Past Accepting new patients

Locations

2820 Napoleon Ave
Ste 460
New Orleans, LA 70115
Phone (504) 321-7600

2820 Napoleon Ave
Ste 990
New Orleans, LA 70115
Phone (504) 347-1333

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Covenant HomeNew Orleans, LA, CCN 195614 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 15, 2017
Jul 15, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1477556496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "STE 460",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-897-5121",
            "fax_number": "504-897-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "STE 460",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-897-5121",
            "fax_number": "504-897-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JOHN",
        "middle_name": "MELVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12877R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5255663",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110220987",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000204504201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545759",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF LA",
            "identifier": "0401526",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.