Individual provider Active NPI

Mustafa Hatipoglu, M.D.

  • Nephrology Physician
  • Chalmette, LA
National Provider Identifier
1699778118
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
03798R Issued in LA
Practice address
4020 Paris Rd
Chalmette, LA 70043-1362
Phone
(504) 277-8423
Fax
(504) 888-8730
NPI assigned
May 30, 2005
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 03798R LA Primary

Addresses

Primary practice location

4020 Paris Rd
Chalmette, LA 70043-1362

Mailing address

4424 Conlin St
Ste 2B
Metairie, LA 70006-2147
Phone (504) 888-8717

Other identifiers 4

IdentifierTypeStateIssuer
210915OtherLACOVENTRY
1146668MedicaidLA
496645410OtherLABLUE CROSS OF LA.
4028228OtherLAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03798RLAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metairie Kidney Center, Inc. PastSince Dec 28, 2020 Accepting new patients
Laplace Dialysis Center Past Accepting new patients
Morgan City Dialysis Center Past Accepting new patients
Nephrology Associates Past Accepting new patients
Raceland Dialysis Center PastSince Mar 25, 2024 Accepting new patients
Chalmette Dialysis Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1699778118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST",
            "address_2": "STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-888-8717",
            "fax_number": "504-888-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431362",
            "telephone_number": "504-277-8423",
            "fax_number": "504-888-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATIPOGLU",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "03798R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "210915",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146668",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA.",
            "identifier": "496645410",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4028228",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.