Active NPI
Justin Michael Tenney, M.D.
- Otolaryngology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 026037
- Practice address
- 604 N. Acadia Ste 101
Thibodaux, LA 70301-4897 - Phone
- (985) 446-5079
- Fax
- (985) 447-2497
- NPI assigned
- May 21, 2007
- Last updated
- Apr 24, 2024
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 026037 | LA | Primary |
Addresses
Primary practice location
604 N. Acadia Ste 101
Thibodaux, LA 70301-4897
Mailing address
604 North Acadia Ste 101
Thibodaux, LA 70301-4897
Phone (985) 446-5079
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4J3246746 | Other | OTHER | |
| 1056707 | Medicaid | LA | |
| 026037 | Other | LA | LA 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
- Otolaryngology
- Education
- Louisiana State University School of Medicine in Shreveport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 Kenneth St
Morgan City, LA 70380-1353
Phone (985) 446-5079
2308 E Main St
Suite B
New Iberia, LA 70560-4029
Phone (985) 446-5079
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
5040 W Main St
Houma, LA 70360-4900
Phone (985) 446-5079
604 N Acadia Rd
Suite 101
Thibodaux, LA 70301-4897
Phone 9854465079110
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026037 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Ear, Nose, & Throat Specialists, Inc. | Otolaryngology | Current | Accepting new patients |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients |
Locations
5131 Odonovan Dr
Fl 1
Baton Rouge, LA 70808
Phone (225) 767-4893
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
5040 W Main St
Ste 2
Houma, LA 70360
Phone (985) 446-5079
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1231 Kenneth St
Morgan City, LA 70380
Phone (985) 384-9440
604 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079
Interoperability endpoints
- jtenney158499@direct.ochsner.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Thibodaux, LA
- NPI 1083713101
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner St. Mary
- General Acute Care Hospital
- Morgan City, LA
- NPI 1205482023
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- 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": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1245448224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 NORTH ACADIA STE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014897",
"telephone_number": "985-446-5079",
"fax_number": "985-447-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N. ACADIA STE 101",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014897",
"telephone_number": "985-446-5079",
"fax_number": "985-447-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNEY",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "026037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "4J3246746",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1056707",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA LICENSE",
"identifier": "026037",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
- David Tate
- Matthew Taylor, MD
- Michelle Waguespack Teasley, PA
- Teche Action Board, Inc. (Teche Health @ Thibodaux)
- Jenny A. Templet, M.D.
- James Terrebonne, DDS
- Micah Terrebonne
- Texas Digestive Disease Consultants, PLLC
- The Center for Pediatric and Adolescent Medicine,LLC
- The Center for Pediatric Therapy,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.