NPIMap

Individual provider Active NPI

Matthew W Cooper, MD

  • Otolaryngology Physician
  • Mandeville, LA
National Provider Identifier
1851787444
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
325406 Issued in LA
Practice address
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone
(985) 327-5905
Fax
(985) 200-0840
NPI assigned
Apr 9, 2015
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 325406 LA Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 325406 LA

Addresses

Primary practice location

1420 N Causeway Blvd
Mandeville, LA 70471-3104

Mailing address

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125001943 LA Practitioner - Otolaryngology 1153745138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

420 Ave F
Bogalusa, LA 70427-3634
Phone (985) 730-6706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wash-St Tammany Reg Medical Center Multi-Specialty Current Accepting new patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc Multi-Specialty CurrentSince Jan 13, 2021 Accepting new patients
Premier After Hours Multi-Specialty Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients
Century Oak Anesthesia, LLC Multi-Specialty PastSince Jan 13, 2021 Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

71205 Highway 21
Covington, LA 70433
Phone (985) 327-5905

15706 Professional Plz
Hammond, LA 70403
Phone (985) 542-2521

16038 Doctors Blvd
Hammond, LA 70403
Phone (985) 327-5905

1420 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 273-5795

1258 Brownswitch Rd
Ste A
Slidell, LA 70461
Phone (985) 327-5905

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1851787444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "325406",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "LA",
            "license": "325406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.