Active NPI
Kerry Thomas Thibodeaux, MD FACS
- Surgery Physician
- Opelousas, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 019158
- Practice address
- 1270 Attakapas Dr
Ste 202
Opelousas, LA 70570-6549 - Phone
- (337) 948-4362
- Fax
- (337) 942-6523
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 019158 | LA | Primary |
Addresses
Primary practice location
1270 Attakapas Dr
Ste 202
Opelousas, LA 70570-6549
Mailing address
1270 Attakapas Dr
Ste 202
Opelousas, LA 70570-6549
Phone (337) 948-4362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1374105 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1233 Wayne Gilmore Circle
Suite 250B
Opelousas, LA 70570-6404
Phone (337) 948-4362
Hospital & facility affiliations
- St Landry Homecare
- Beauregard Home Health
- Opelousas General Health System
- Beauregard Memorial Hospital
- Ochsner St Martin Hospital
- Ochsner Lafayette General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 51 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019158 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SKP Wound Care of Louisiana LLC | Current | Accepting new patients | |
| St Martin Hospital, Inc. | Current | Accepting new patients | |
| Kerry T. Thibodeaux MD Apmc | Surgery | Current | Accepting new patients |
| St. Martin Hospital, Inc. | Current | Accepting new patients | |
| St. Martin Hospital, Inc. | Current | Accepting new patients | |
| Opelousas General Hospital Authority | Past | Accepting new patients |
Locations
1555 Gary Dr
#A
Breaux Bridge, LA 70517
Phone (337) 909-2474
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
576 N Avenue G
Ste B
Crowley, LA 70526
Phone (337) 581-2612
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955
Organizations & group practices 6
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.
-
- Surgery Physician
- Opelousas, LA
- NPI 1407883556
-
- Family Nurse Practitioner
- Crowley, LA
- NPI 1215612122
-
- Cardiovascular Disease Physician
- Breaux Bridge, LA
- NPI 1407175615
-
- Medical Specialty Clinic/Center
- Breaux Bridge, LA
- NPI 1619469202
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1407414816
-
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1316406929
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Deridder, LA
- NPI 1225288566
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Home Health Agency
- Opelousas, LA
- NPI 1538392238
-
- General Acute Care Hospital
- Opelousas, LA
- NPI 1447230388
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093774192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 ATTAKAPAS DR",
"address_2": "STE 202",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706549",
"telephone_number": "337-948-4362",
"fax_number": "337-942-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 ATTAKAPAS DR",
"address_2": "STE 202",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706549",
"telephone_number": "337-948-4362",
"fax_number": "337-942-6523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBODEAUX",
"first_name": "KERRY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "019158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1374105",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.