Individual provider Active NPI

Michael Edward Hagensee, MD PHD

  • Infectious Disease Physician
  • New Orleans, LA
National Provider Identifier
1780603746
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
12021R Issued in LA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80387OtherLALSUHSC
02558050MedicaidMS
1532347MedicaidLA
53234MedicaidLA

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
I20100312000349 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4082749361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
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

LicenseStateTypeSpecialty
12021RLAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 1, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 23, 1996 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Sep 23, 1996 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2014 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.