Active NPI
Robert Joseph Thibodaux Jr., MD
- Cardiovascular Disease Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 09936R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1693324 | 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
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 09936R | LA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | 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
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
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-
- Oral and Maxillofacial Surgery (Dentist)
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- NPI 1306247556
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1669648564
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.