Individual provider Active NPI

Noah Hagen, D.O.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1487001772
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
320554 Issued in LA
Practice address
815 W Broad St
Suite 200
Columbus, OH 43222-1464
Phone
(614) 234-9822
Fax
(614) 234-4272
NPI assigned
May 17, 2016
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Internal Medicine Physician 207R00000X 320554 LA Primary

Addresses

Primary practice location

815 W Broad St
Suite 200
Columbus, OH 43222-1464

Mailing address

3600 Prytania St
Ste 35
New Orleans, LA 70115-3678
Phone (504) 897-8412

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
I20190917001657 LA Practitioner - Internal Medicine 9133416605 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

100 W Harrison Ave
Suite 101
New Orleans, LA 70124-1357
Phone (504) 325-2929

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
320554LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Internal Medicine CurrentSince Jun 14, 2025 Accepting new patients
St. Bernard Physician Services, LLC CurrentSince Oct 16, 2022 Accepting new patients
University Medical Center Management Corporation CurrentSince Jun 14, 2025 Accepting new patients
New Orleans Physician Services Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Touro Infirmary PastSince Jul 1, 2021 Accepting new patients

Locations

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1401 Foucher St
Fl 2
New Orleans, LA 70115
Phone (504) 210-4472

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

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

Organizations & group practices 6

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 8

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1487001772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-8412",
            "fax_number": "504-249-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W BROAD ST",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221464",
            "telephone_number": "614-234-9822",
            "fax_number": "614-234-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "NOAH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "320554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.