Active NPI
Kyle J. Guidry, M.D.
- Family Medicine Physician
- Thibodaux, LA
National Provider Identifier
1619960812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11736R
- Practice address
- 804 South Acadia Road
Thibodaux, LA 70301 - Phone
- (985) 446-2680
- Fax
- (985) 447-2528
- NPI assigned
- Aug 24, 2005
- Last updated
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11736R | LA | Primary |
Addresses
Primary practice location
804 South Acadia Road
Thibodaux, LA 70301
Mailing address
804 South Acadia Road
Thibodaux, LA 70301
Phone (985) 446-2680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1680770 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
804 S Acadia Rd
Thibodaux, LA 70301-4850
Phone (985) 446-2680
Hospital & facility affiliations
- Divinity Home Health Services, LLC
- Home Health Ctr of Thibodaux
- Thibodaux Regional Medical Center
- Terrebonne General Medical Center - Parish
- Audubon Health and Rehab
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Doctor Clinic DRS Harris & Magee a Medical Corporation | Family Medicine | Current | Accepting new patients |
| Family Doctor Clinic DRS Harris & Magee a Medical Corporation | Family Medicine | Current | Accepting new patients |
| Cardiovascular Institute of the South, Apmc | Past | Accepting new patients | |
| Thibodaux Regional Health System Inc | Past | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Family Medicine | Past | Accepting new patients |
Locations
335 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 446-2680
804 S Acadia Rd
Thibodaux, LA 70301
Phone (985) 446-2680
Interoperability endpoints
- kguidry@fdc.gwaydirect.com
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.
-
- Family Medicine Physician
- Thibodaux, LA
- NPI 1366527665
-
dba The Family Doctor Clinic of Thibodaux
- Family Medicine Physician
- Thibodaux, LA
- NPI 1053164061
-
dba Family Doctors Clinic of Mathews
- Prosthetic/Orthotic Supplier
- Raceland, LA
- NPI 1477734424
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Family Medicine
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Thibodaux, LA
- NPI 1023075355
Nursing home
-
- Home Health Agency
- Thibodaux, LA
- NPI 1801224084
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
-
- Home Health Agency
- Thibodaux, LA
- NPI 1912567033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1619960812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SOUTH ACADIA ROAD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "70301",
"telephone_number": "985-446-2680",
"fax_number": "985-447-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SOUTH ACADIA ROAD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "70301",
"telephone_number": "985-446-2680",
"fax_number": "985-447-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "KYLE",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "11736R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1680770",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.