Individual provider Active NPI

Michel Hirsch, M.D.

  • Family Medicine Physician
  • Donaldsonville, LA
National Provider Identifier
1659370377
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
009983 Issued in LA
Practice address
214 Clinic Dr
Donaldsonville, LA 70346-4309
Phone
(225) 765-5500
Fax
(225) 473-4406
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 009983 LA Primary

Addresses

Primary practice location

214 Clinic Dr
Donaldsonville, LA 70346-4309

Mailing address

214 Clinic Dr
Donaldsonville, LA 70346-4309
Phone (225) 765-5500

Other identifiers 1

IdentifierTypeStateIssuer
1096407MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mhirsch3383@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20100819000647 LA Practitioner - Family Practice 5799819298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009983LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Ascension Parish Hospital Service District PastSince Jan 17, 1991 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhirsch3383@direct.casso.us.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1659370377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CLINIC DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464309",
            "telephone_number": "225-765-5500",
            "fax_number": "225-473-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CLINIC DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464309",
            "telephone_number": "225-765-5500",
            "fax_number": "225-473-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "MICHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "009983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096407",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhirsch3383@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mhirsch3383@direct.casso.us.com",
            "address_1": "214 Clinic Dr",
            "city": "Donaldsonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703464309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "214 Clinic Dr",
            "city": "Donaldsonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703464309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.