Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Jesse McNulty IV, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1295938892

Michael Jesse McNulty IV, MD is an Orthopedic Surgery in Metairie, Louisiana. Graduated from University of Texas Southwestern Medical School at Dallas in 2004, 22 years ago. Practices with Southern Orthopaedic Specialists APMC, a 13-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
22
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3800 Houma Blvd Ste 200
Metairie, LA 70006
Phone: (504) 897-6351
Fax: (504) 899-7317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD203982 (LA)

Record details

NPI number1295938892
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2007
Last updated in NPPESSeptember 25, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2004 (22 years in practice)
Group practice Southern Orthopaedic Specialists Apmc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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