Active NPI
Michael Edward Hagensee, MD PHD
- Infectious Disease Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 12021R
- Practice address
- 136 S Roman St
Lsuhsc
New Orleans, LA 70112-3095 - Phone
- (504) 903-6569
- Fax
- (504) 903-6842
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 7, 2014
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 12021R | LA | Primary |
Addresses
Primary practice location
136 S Roman St
Lsuhsc
New Orleans, LA 70112-3095
Mailing address
533 Bolivar St
Lsuhsc
New Orleans, LA 70112-1349
Phone (504) 903-6569
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80387 | Other | LA | LSUHSC |
| 02558050 | Medicaid | MS | |
| 1532347 | Medicaid | LA | |
| 53234 | Medicaid | LA |
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
- Infectious Disease
- Education
- Baylor College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12021R | LA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Lsu Medical Center | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2000 Canal St
Fl 4
New Orleans, LA 70112
2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
3525 Prytania St
Ste 526
New Orleans, LA 70115
Phone (504) 648-2500
Organizations & group practices 7
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.
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
-
dba Ochsner Clinic LLC (BR)
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1407848443
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
dba University Medical Center New Orleans
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1780603746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 BOLIVAR ST",
"address_2": "LSUHSC",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121349",
"telephone_number": "504-903-6569",
"fax_number": "504-903-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S ROMAN ST",
"address_2": "LSUHSC",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701123095",
"telephone_number": "504-903-6569",
"fax_number": "504-903-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGENSEE",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "LA",
"license": "12021R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSUHSC",
"identifier": "80387",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02558050",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532347",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53234",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.