Active NPI
Mustafa Hatipoglu, M.D.
- Nephrology Physician
- Chalmette, LA
National Provider Identifier
1699778118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 03798R
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210915 | Other | LA | COVENTRY |
| 1146668 | Medicaid | LA | |
| 496645410 | Other | LA | BLUE CROSS OF LA. |
| 4028228 | Other | LA | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03798R | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metairie Kidney Center, Inc. | Past | 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 | Past | 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.
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-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Metairie, LA
- NPI 1053424606
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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- NPI 1730124876
-
- Specialist
- Vacherie, LA
- NPI 1790729689
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Raceland, LA
- NPI 1992732242
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.