Active NPI
Matthew Alan Nielsen, MD
- Urology Physician
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 328739
- Practice address
- 200 W Esplanade Ave
Kenner, LA 70065-2489 - Phone
- (504) 464-8588
- Fax
- (504) 464-8586
- NPI assigned
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME134652 | FL | |
| Urology Physician | 208800000X | 328739 | LA | Primary |
Addresses
Primary practice location
200 W Esplanade Ave
Kenner, LA 70065-2489
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
62 Eliana Ave
Saint Johns, FL 32259-1277
Phone (936) 554-4123
Other practice location 2
710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6583
Other practice location 3
15770 Paul Vega Md Dr Ste 204
Hammond, LA 70403-1475
Phone (985) 230-7860
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Texas Medical School at San Antonio, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15770 Paul Vega MD Dr
Hammond, LA 70403-1475
Phone (985) 230-7860
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683
Hospital & facility affiliations
- North Oaks Medical Center
- Ochsner Lsu Health Shreveport
- Ochsner Medical Center-Kenner
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Physician Group, LLC | Single Specialty | Current | Accepting new patients |
| McIver Urological Clinic | Single Specialty | Current | Accepting new patients |
| Ochsner Clinic LLC | Single Specialty | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Florida Physician Specialists LLC | Single Specialty | Current | Accepting new patients |
| North Oaks Physician Group, LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Single Specialty | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3627 University Blvd S
Ste 605
Jacksonville, FL 32216
Phone (904) 658-0176
710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584
15770 Paul Vega Md Dr
Ste 204
Hammond, LA 70403
Phone (985) 230-7400
15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350
200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940
17199 Spring Ranch Rd
Ste 200
Livingston, LA 70754
Phone (225) 686-4930
1514 Jefferson Hwy
New Orleans, LA 70121
Interoperability endpoints
- matthewnielsen@miuc.allscriptsdirect.net
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Single Specialty
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
Single Specialty
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1144817487
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Lafayette, LA
- NPI 1518191311
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1588917108
Single Specialty
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1700129707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652489",
"telephone_number": "504-464-8588",
"fax_number": "504-464-8586"
}
],
"practiceLocations": [
{
"address_1": "62 Eliana Ave",
"address_purpose": "LOCATION",
"city": "Saint Johns",
"state": "FL",
"postal_code": "322591277",
"country_code": "US",
"telephone_number": "936-554-4123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 Lomax St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32204",
"country_code": "US",
"telephone_number": "904-355-6583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15770 Paul Vega Md Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704031475",
"country_code": "US",
"telephone_number": "985-230-7860",
"fax_number": "985-230-7861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSEN",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME134652",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "328739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.