Individual provider Active NPI

Robert Joseph Thibodaux Jr., MD

  • Cardiovascular Disease Physician
  • Baton Rouge, LA
National Provider Identifier
1235152190
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
09936R Issued in LA
Practice address
Earl K. Long Hospital, Lsu Unit
5825 Airline Highway
Baton Rouge, LA 70805
Phone
(225) 358-3938
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 09936R LA Primary

Addresses

Primary practice location

Earl K. Long Hospital, Lsu Unit
5825 Airline Highway
Baton Rouge, LA 70805

Mailing address

1340 Poydras St
New Orleans, LA 70112-1221
Phone (504) 412-1860

Other identifiers 1

IdentifierTypeStateIssuer
1693324MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000106 LA Practitioner - Internal Medicine 8426137571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09936RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince May 1, 2008 Accepting new patients
Lsuhn Billing LLC CurrentSince May 1, 2008 Accepting new patients
Lsuhn Billing LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1340 Poydras St
New Orleans, LA 70112

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rthibodaux8644@direct.casso.us.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1235152190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-412-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EARL K. LONG HOSPITAL, LSU UNIT",
            "address_2": "5825 AIRLINE HIGHWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70805",
            "telephone_number": "225-358-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODAUX",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "09936R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.