Individual provider Active NPI

Ngoc-Thuy Thi Bui, M.D.

  • Family Medicine Physician
  • Gretna, LA
National Provider Identifier
1306080361
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.205800 Issued in LA
Practice address
435 Lapalco Blvd
Suite 1
Gretna, LA 70056-7375
Phone
(504) 392-4114
Fax
(504) 533-8622
NPI assigned
Apr 21, 2009
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.205800 LA Primary

Addresses

Primary practice location

435 Lapalco Blvd
Suite 1
Gretna, LA 70056-7375

Mailing address

435 Lapalco Blvd
Suite 1
Gretna, LA 70056-7369
Phone (504) 392-4114

Other identifiers 2

IdentifierTypeStateIssuer
07837528MedicaidMS
1883921MedicaidLA

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
I20121107000095 LA Practitioner - Family Practice 9638320393 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205800LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Medical Clinic LLC Family Medicine CurrentSince Feb 26, 2020 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

435 Lapalco Blvd
Ste 1
Gretna, LA 70056
Phone (504) 392-4114

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1306080361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LAPALCO BLVD",
            "address_2": "SUITE 1",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567369",
            "telephone_number": "504-392-4114",
            "fax_number": "504-533-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LAPALCO BLVD",
            "address_2": "SUITE 1",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567375",
            "telephone_number": "504-392-4114",
            "fax_number": "504-533-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "NGOC-THUY",
        "middle_name": "THI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07837528",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.