Individual provider Active NPI

Michael John Haas, M.D.

  • Family Medicine Physician
  • Covington, LA
National Provider Identifier
1871824177
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017278 Issued in LA
Practice address
72385 Industry Park Rd
Covington, LA 70435-8607
Phone
(985) 871-0802
Fax
(985) 871-0804
NPI assigned
Jan 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017278 LA Primary

Addresses

Primary practice location

72385 Industry Park Rd
Covington, LA 70435-8607

Mailing address

72385 Industry Park Rd
Covington, LA 70435-8607
Phone (985) 871-0802

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
I20170812000305 LA Order and Referring Only - Family PracticePractitioner - Family Practice 9931470796

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017278LAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: michael.haas.p1@direct.purohit.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1871824177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72385 INDUSTRY PARK RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704358607",
            "telephone_number": "985-871-0802",
            "fax_number": "985-871-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72385 INDUSTRY PARK RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704358607",
            "telephone_number": "985-871-0802",
            "fax_number": "985-871-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.