Individual provider Active NPI

Thad Michael Primeaux, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Charles, LA
National Provider Identifier
1609086818
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.202834 Issued in LA
Practice address
830 W Bayou Pines Dr
Lake Charles, LA 70601-7097
Phone
(337) 436-9557
Fax
(337) 312-1311
NPI assigned
May 23, 2007
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.202834 LA Primary

Addresses

Primary practice location

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097

Mailing address

830 W Bayou Pines Dr
Lake Charles, LA 70601-7097
Phone (337) 436-9557

Other identifiers 1

IdentifierTypeStateIssuer
1079154MedicaidLA

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
I20110824000054 LA Practitioner - Pathology 3173793460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
81.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202834LAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2021 Accepting new patients
The Pathology Laboratory, Inc. Clinical Pathology CurrentSince Aug 1, 2011 Accepting new patients
TPL FL LLC CurrentSince Aug 1, 2011 Accepting new patients

Locations

5339 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 766-4999

830 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 436-9557

Interoperability endpoints

  • Direct secure messaging: tprimeaux234077@direct.ochsner.org

Organizations & group practices 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1609086818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017097",
            "telephone_number": "337-436-9557",
            "fax_number": "337-312-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMEAUX",
        "first_name": "THAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.202834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079154",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.