Individual provider Active NPI

Dedric J Clarke, MD

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
National Provider Identifier
1508056441
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD.200764 Issued in LA
Practice address
602 N. Acadia Road
Suite 101
Thibodaux, LA 70301
Phone
(985) 493-4993
Fax
(985) 493-4994
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD.200764 LA Primary

Addresses

Primary practice location

602 N. Acadia Road
Suite 101
Thibodaux, LA 70301

Mailing address

602 N. Acadia Road
Suite 101
Thibodaux, LA 70301
Phone (985) 493-4993

Other identifiers 1

IdentifierTypeStateIssuer
1066885MedicaidLA

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
I20091020000770 LA Practitioner - Cardiac ElectrophysiologyPractitioner - Emergency Medicine 2769529965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

2595 Hwy 1
Labadieville, LA 70372
Phone (985) 493-4993

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.200764LAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 1, 2025 Accepting new patients
Crescent City Physicians, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Thibodaux Regional Network Development Corporation Emergency Medicine Current Accepting new patients
Thibodaux Regional Network Development Corporation Clinical Cardiac Electrophysiology CurrentSince Aug 1, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3715 Prytania St
Ste 400
New Orleans, LA 70115
Phone (504) 897-8276

602 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-1958

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

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.

Hospital & facility affiliations 3

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1508056441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N. ACADIA ROAD",
            "address_2": "SUITE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-4993",
            "fax_number": "985-493-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N. ACADIA ROAD",
            "address_2": "SUITE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-4993",
            "fax_number": "985-493-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DEDRIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "MD.200764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066885",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.