Individual provider Active NPI

Matthew K Sanger, MD

  • Nephrology Physician
  • Metairie, LA
National Provider Identifier
1639119910
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.15620R Issued in LA
Practice address
1 Galleria Blvd
Suite 110
Metairie, LA 70001-2082
Phone
(504) 708-4400
Fax
(504) 708-4410
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.15620R LA
Nephrology Physician 207RN0300X MD.15620R LA Primary

Addresses

Primary practice location

1 Galleria Blvd
Suite 110
Metairie, LA 70001-2082

Mailing address

2929 Arch St
Suite 620
Philadelphia, PA 19104-2857
Phone (215) 382-3680

Other identifiers 1

IdentifierTypeStateIssuer
1464953MedicaidLA

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
I20041103000076 LA Practitioner - NephrologyPractitioner - Internal Medicine 8426010240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Nephrology Associates LLCGroup PAC ID 8224070719, 12 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1202

141 S Jamie Blvd
Avondale, LA 70094-2861
Phone (504) 342-7773

2717 Decatur St
Kenner, LA 70062-5025
Phone (504) 469-1075

2908 General Degaulle Dr
New Orleans, LA 70114-6440
Phone (504) 227-1521

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 454-4855

4409 Utica St
Suite 100
Metairie, LA 70006-6530

4409 Utica St
Suite 100
Metairie, LA 70006-6579
Phone (504) 457-3687

4425 Utica St
Metairie, LA 70006-6530
Phone (504) 455-5535

630 Deckbar Ave
Jefferson, LA 70121-2312
Phone (504) 837-0021

Hospital & facility affiliations

  • Fmcna - Ochsner New Orleans Dialysis facility, Jefferson, LA, CCN 192531
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.15620RLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 1, 2019 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 1, 2019 Accepting new patients
Ochsner Clinic LLC Internal Medicine Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1111 Medical Center Blvd
Ste N511
Marrero, LA 70072
Phone (504) 349-6301

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

1514 Jefferson Hwy
New Orleans, LA 70121

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Interoperability endpoints

  • Direct secure messaging: msanger31364@direct.acumenmd.com

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 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1639119910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 ARCH ST",
            "address_2": "SUITE 620",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042857",
            "telephone_number": "215-382-3680",
            "fax_number": "215-382-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GALLERIA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012082",
            "telephone_number": "504-708-4400",
            "fax_number": "504-708-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGER",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.15620R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.15620R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464953",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.