Blainey J. Nicholas, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

022044 Issued in LA

Practice address

602 N Acadia Rd
Thibodaux, LA 70301-4847

Phone

(504) 837-8000

NPI assigned

Jul 10, 2006

Last updated

Sep 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

93.02 of 100Reported as group

Quality

73.51

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.49 of 100Reported as group

Quality

53.82

Promoting interoperability

99

Improvement activities

40

Cost

78.66

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25352/brand/1/csg/1/fhir/r4

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.

• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment NPD
• St Mary Emergency Group LLC

  • Emergency Medicine Physician
  • Morgan City, LA
  • NPI 1235108499
  Medicare reassignment NPD
• Teche Emergency Group LLC

  • Emergency Medicine Physician
  • Franklin, LA
  • NPI 1356658884
  Medicare reassignment NPD
• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310

  Emergency Medicine

  Medicare reassignment NPD
• Thibodaux Regional Urgent Care LLC

  • Urgent Care Clinic/Center
  • Thibodaux, LA
  • NPI 1013683903
  Medicare reassignment NPD
• Thibodaux Regional Network Development Corporation

  dba Thibodaux Regional Physical Medicine & Rehabilitation Clinic

  • Physical Medicine & Rehabilitation Physician
  • Thibodaux, LA
  • NPI 1518631639
  NPD
• Thibodaux Regional Network Development Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
  • NPI 1770435851
  NPD
• Thibodaux Regional Urgent Care, LLC

  dba Thibodaux Regional Urgent Care

  • Urgent Care Clinic/Center
  • Gray, LA
  • NPI 1790547370
  NPD
• Lee Robert Domangue, M.D., a Professional Medical Corporation

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Slidell, LA
  • NPI 1033293790
  NPD (past)
• Louisiana Em-1 Medical Services, PC

  • Emergency Medicine Physician
  • Thibodaux, LA
  • NPI 1235390766
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1306870001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "LABADIEVILLE",
            "state": "LA",
            "postal_code": "703720403",
            "telephone_number": "504-376-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "504-837-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "BLAINEY",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "022044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974692",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nexion Health at Maison Bienvenue, Inc. (Maison Bienvenue Senior Living Center)
• Nexion Health at Thibodaux, Inc. (Thibodaux Healthcare and Rehabilitation Center)
• Brittany Neyland
• Hoan C Nguyen, PHARMD
• Tammy My Huyen Nguyen, STUDENT
• Nicholls State University (Nicholls state sports medicine)
• Geralyn Nixon
• Crystal Lynn Nora
• Normal Life of Lafayette, Inc. (Labadieville Community Home)
• Normal Life of Lafayette, Inc. (Arms Community Home)

• Emergency Medicine Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.

Verify at the official NPI Registry.