Active NPI
Tiffany Mary Dufrene, M.D.
- Family Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 325402
- Practice address
- 1525 Oak Park Blvd
Lake Charles, LA 70601-8849 - Phone
- (337) 494-6767
- Fax
- (337) 494-6750
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 325402 | LA | Primary |
Addresses
Primary practice location
1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Mailing address
PO Box 123453 Dept 3453
Dallas, TX 75312-0001
Phone (337) 494-2772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325402 | Other | LA | STATE LICENSE |
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
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N Acadia Rd
Contract Management Dept
Thibodaux, LA 70301-4823
Phone (985) 493-4907
Hospital & facility affiliations
- Thibodaux Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 67.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhsc Family Practice Center @ LCMH | Family Medicine | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Health System Inc | Past | Accepting new patients |
Locations
1525 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-2023
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1073514493
-
- Anatomic Pathology & Clinical Pathology Physician
- Thibodaux, LA
- NPI 1437664646
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1225535818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123453 DEPT 3453",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "337-494-2772",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018849",
"telephone_number": "337-494-6767",
"fax_number": "337-494-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRENE",
"first_name": "TIFFANY",
"middle_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "325402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "325402",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.