Individual provider Active NPI

Matthew Mark Wolbert, DO

  • Family Medicine Physician
  • River Ridge, LA
National Provider Identifier
1548766850
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
345835 Issued in LA
Practice address
9605 Jefferson Hwy Ste E
River Ridge, LA 70123-2550
Phone
(504) 738-1600
Fax
(504) 737-1264
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020546 PA
Family Medicine Physician 207Q00000X 345835 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X PA

Addresses

Primary practice location

9605 Jefferson Hwy Ste E
River Ridge, LA 70123-2550

Mailing address

1100 Poydras St
2500 Energy Center
New Orleans, LA 70163-2500
Phone (045) 527-9953

Other practice location 1

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

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
I20250509002814 LA Practitioner - Family Practice 5193072056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9605 Jefferson Hwy
Suite E
River Ridge, LA 70123-2550
Phone (504) 738-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345835LAMDFamily Medicine Physician
OS020546PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

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

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

9605 Jefferson Hwy
Ste E
River Ridge, LA 70123
Phone (504) 738-1600

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 7

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1548766850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POYDRAS ST",
            "address_2": "2500 ENERGY CENTER",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701632500",
            "telephone_number": "045-527-9953",
            "fax_number": "045-527-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 JEFFERSON HWY STE E",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232550",
            "telephone_number": "504-738-1600",
            "fax_number": "504-737-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Harrison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701241357",
            "country_code": "US",
            "telephone_number": "504-325-2929",
            "fax_number": "504-325-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLBERT",
        "first_name": "MATTHEW",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020546",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "345835",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Ridge, LA

Sources for this page

Verify at the official NPI Registry.