Individual provider Active NPI

Matthew Alan Nielsen, MD

  • Urology Physician
  • Kenner, LA
National Provider Identifier
1700129707
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
328739 Issued in LA
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

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001249 LA Practitioner - Urology 8123328622 Reassigns benefits to 3 organizations

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
North Oaks Physician Group LLCGroup PAC ID 9133378870, 62 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

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 Hospital, Hammond, LA, CCN 190015
  • Ochsner Lsu Health Shreveport Hospital, Shreveport, LA, CCN 190098
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
McIver Urological Clinic Single Specialty Current Accepting new patients
Ochsner Clinic LLC Single Specialty Current Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 21, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 21, 2021 Accepting new patients
Florida Physician Specialists LLC Single Specialty Current Accepting new patients
North Oaks Physician Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
North Oaks Medical Center, LLC Single Specialty CurrentSince Jul 15, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.