Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANTAL BICH PHUONG WICKMAN MD
NPI 1669113734
Internal Medicine in New Orleans, LA

Q: What is Chantal Wickman's NPI number?

The NPI number for Chantal Wickman is 1669113734. It was assigned to this individual provider in the NPPES registry on April 5, 2022. The provider is also known as Chantal Bich Phuong Pham MD.

Q: What is Chantal Wickman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Chantal Wickman was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2022PECOS Enrolled

1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112(504) 568-5600 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Apr 5, 2022 (2 updates tracked since 2022).

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About Chantal Bich Phuong Wickman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANTAL BICH PHUONG WICKMAN MD (NPI 1669113734) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Texas (W3632) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669113734

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCHANTAL BICH PHUONG WICKMANCredential: MD

Location Address1542 TULANE AVE # T4M2New Orleans, LA 70112-2865

Mailing Address1542 Tulane Ave # T4m2New Orleans, LA 70112-2865 · (504) 568-5600

Phone(504) 568-5600

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1669113734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · W3632✔ Licensed in LA · 350280

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1542 TULANE AVE # T4M2, New Orleans, LA 70112

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Other Names 1

Former Name (1)Chantal Bich Phuong Pham Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantal Bich Phuong Wickman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.88 typical visit price

range $55.50 – $170.30

Typical copayment $32.22 (range $13.87 – $42.57)

Most-billed visit code 99204

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE TRAN MD

Internal Medicine