Individual provider Active NPI

Michael Paul Haydel Sr., MD

  • Pediatrics Physician
  • Marrero, LA
National Provider Identifier
1932125804
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-012005 Issued in LA
Practice address
1111 Medical Center Blvd
N208
Marrero, LA 70072
Phone
(504) 349-6228
Fax
(504) 349-6229
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-012005 LA Primary
Pediatrics Physician 208000000X MD.012005 LA

Addresses

Primary practice location

1111 Medical Center Blvd
N208
Marrero, LA 70072

Mailing address

1111 Medical Center Blvd
N208
Marrero, LA 70072
Phone (504) 349-6228

Other identifiers 1

IdentifierTypeStateIssuer
1159549MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-012005LAMDPediatrics Physician
MD.012005LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Haydel MD a Medical Corporation Pediatrics CurrentSince May 4, 2025 Accepting new patients

Locations

1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332

1111 Medical Center Blvd
Ste N208
Marrero, LA 70072
Phone (504) 349-6228

1111 Medical Center Blvd
Ste 208
Marrero, LA 70072

1111 Medical Center Blvd
Ste N
Marrero, LA 70072

1111 Medical Center Blvd
Ste 2
Marrero, LA 70072

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1932125804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "N208",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6228",
            "fax_number": "504-349-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "N208",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6228",
            "fax_number": "504-349-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEL",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD-012005",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.012005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159549",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.