Individual provider Active NPI

Gerard Tiffault, MD

  • Emergency Medicine Physician
  • Fort Polk, LA
National Provider Identifier
1053361675
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L8978 Issued in TX
Practice address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone
(240) 351-9565
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L8978 TX Primary

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459-5102

Mailing address

7780 Village Dr
Beaumont, TX 77713-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041106000180 TX Practitioner - Emergency Medicine 6204899602 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 899-7187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8978TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 13, 2023 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 13, 2017 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 10, 2021 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 30, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Jun 13, 2017 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
G.T. Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Emergency Room Services , PA Emergency Medicine Past Accepting new patients
Utmb Faculty Group Practice Emergency Medicine Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Tennessee Urgent Care Associates, LLC Past Accepting new patients

Locations

3939 Dowlen Rd
Ste 19
Beaumont, TX 77706
Phone (409) 899-7800

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1053361675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 VILLAGE DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "240-351-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFAULT",
        "first_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

Verify at the official NPI Registry.