Individual provider Active NPI

Megan Matherne Hartman, M.D.

  • Family Medicine Physician
  • Raceland, LA
National Provider Identifier
1780940288
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206628 Issued in LA
Practice address
111 Acadia Park Dr
Raceland, LA 70394-2619
Phone
(985) 537-7575
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD.206628 LA Primary

Addresses

Primary practice location

111 Acadia Park Dr
Raceland, LA 70394-2619

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
08701771MedicaidMS
2197215MedicaidLA

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
I20150917000898 LA Practitioner - Family Practice 7517274905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

111 Acadia Park Dr
Raceland, LA 70394-2619
Phone (985) 537-7575

Hospital & facility affiliations

  • Ochsner Home Health of Raceland Home health agency, Raceland, LA, CCN 197119
  • Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206628LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Bayou LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 14, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 14, 2015 Accepting new patients
Cardiovascular Institute of the South, Apmc Past Accepting new patients
Cardiovascular Institute of the South, LLC Family Medicine Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

111 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-7575

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

Interoperability endpoints

  • Direct secure messaging: mhartman154667@direct.ochsner.org

Organizations & group practices 6

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 5

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1780940288",
    "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": "111 ACADIA PARK DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942619",
            "telephone_number": "985-537-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MEGAN",
        "middle_name": "MATHERNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08701771",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.