Individual provider Active NPI

Madelyn Claire Wiegand, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Slidell, LA
National Provider Identifier
1740281708
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD.019971 Issued in LA
Practice address
2250 Gause Blvd E
Suite 200
Slidell, LA 70461-4235
Phone
(985) 259-4318
Fax
(985) 259-4153
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD.019971 LA Primary

Addresses

Primary practice location

2250 Gause Blvd E
Suite 200
Slidell, LA 70461-4235

Mailing address

2250 Gause Blvd E
Suite 200
Slidell, LA 70461-4235
Phone (985) 259-4318

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
I20040119000678 LA Practitioner - Endocrinology 1759282023 Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 Gause Blvd E
Suite 200
Slidell, LA 70461-4235
Phone (985) 259-4318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019971LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ileana J Tandron MD Apmc Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

2240 Gause Blvd E
Slidell, LA 70461
Phone (985) 605-6925

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.

Hospital & facility affiliations 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1740281708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "SUITE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-259-4318",
            "fax_number": "985-259-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "SUITE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-259-4318",
            "fax_number": "985-259-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "MADELYN",
        "middle_name": "CLAIRE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.019971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.