Individual provider Active NPI

Ross J Thibodaux, M.D.

  • Rheumatology Physician
  • Thibodaux, LA
National Provider Identifier
1447693619
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD.207890 Issued in LA
Practice address
726 N Acadia Rd Ste 3400
Thibodaux, LA 70301
Phone
(985) 449-4656
Fax
(985) 449-2532
NPI assigned
Apr 8, 2013
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD.207890 LA Primary

Addresses

Primary practice location

726 N Acadia Rd Ste 3400
Thibodaux, LA 70301

Mailing address

726 N Acadia Rd Ste 3400
Thibodaux, LA 70301-5011
Phone (985) 449-4656

Other practice location 1

2000 Canal St.
Rheumatology Clinic 2nd Floor
New Orleans, LA 70112
Phone (504) 702-4200

Other identifiers 1

IdentifierTypeStateIssuer
2332324MedicaidLA

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
I20160526001743 LA Practitioner - Internal Medicine 5193021285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

602 N Acadia Rd
Thibodaux, LA 70301-4823

602 N Acadia Rd
Thibodaux, LA 70301-4847

608 N Acadia Rd
Thibodaux, LA 70301-4847

726 N Acadia Rd
Suite 3400
Thibodaux, LA 70301-5011
Phone (985) 449-4656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Thibodaux Regional Network Development Corporation Single Specialty Current Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2016 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 1, 2019 Accepting new patients
Lsuhn Billing LLC Single Specialty CurrentSince Jul 1, 2016 Accepting new patients

Locations

5131 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 354-0120

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

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

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

726 N Acadia Rd
Ste 3400
Thibodaux, LA 70301
Phone (985) 449-4656

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1447693619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 3400",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015011",
            "telephone_number": "985-449-4656",
            "fax_number": "985-449-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 3400",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-449-4656",
            "fax_number": "985-449-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Canal St.",
            "address_2": "Rheumatology Clinic 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70112",
            "country_code": "US",
            "telephone_number": "504-702-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODAUX",
        "first_name": "ROSS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "MD.207890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.