Active NPI
John Melvin Wise, MD
- Internal Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12877R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5255663 | Other | AETNA | |
| 110220987 | Other | RAILROAD MEDICARE | |
| 0000204504201 | Other | UNITED HEALTHCARE | |
| 1545759 | Medicaid | LA | |
| 0401526 | Other | LA | UNITED 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
Enrollment records 1
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
- Touro Infirmary
- Covenant Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12877R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr John M Wise | Internal Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Covenant Home | 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.
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1780753103
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1124488630
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1780753103
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.