Jonathan Thien-Phu Tieu, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

720502505 Issued in LA

Practice address

1401 A Jefferson Highway
Academic Center, 1St Floor
Jefferson, LA 70121

Phone

(504) 842-3260

Fax

(504) 842-3193

NPI assigned

Apr 3, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1104767060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 A JEFFERSON HIGHWAY",
            "address_2": "ACADEMIC CENTER, 1ST FLOOR",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3260",
            "fax_number": "504-842-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 A JEFFERSON HIGHWAY",
            "address_2": "ACADEMIC CENTER, 1ST FLOOR",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3260",
            "fax_number": "504-842-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "JONATHAN",
        "middle_name": "THIEN-PHU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "720502505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rodriguez Theriot
• Carlene B Thibodeaux
• Danyetta D Thomas, OD
• Jordan Ashleigh Thompson, DO
• Manaswitha Thota, MD
• Aminat Tijani
• Ian Joseph Tobal
• Melina Todesco, MA, LAT, ATC
• Alexandria Christine Toepfer, DNP, CRNA
• Lydia Tompkins

• Internal Medicine Physician in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.