Larry Gotfrey Thirstrup, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

300473 Issued in LA

Practice address

1151 Barataria Blvd Ste 3400
Marrero, LA 70072-3083

Phone

(504) 265-8304

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, VI2 enrollments

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 2

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Louisiana State University School of Medicine in Shreveport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Pain Doctor IncGroup PAC ID 7618272121, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

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.

• La Pain Doctor Inc

  • Pain Medicine Physician
  • La Place, LA
  • NPI 1760856215
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1760005136
  Medicare reassignment NPD
• Hni Medical Services at Glenwood, LLC

  • Internal Medicine Physician
  • West Monroe, LA
  • NPI 1669962064
  Medicare reassignment NPD
• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  Medicare reassignment NPD
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Opelousas, LA
  • NPI 1407564628
  NPD
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1952036998
  NPD
• Acute Alternative Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Christiansted, VI
  • NPI 1053567883
  NPD
• Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
  • NPI 1740238534
  NPD
• Gaven, P.a.

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1093803603
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1770834012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FAY WAY",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603212",
            "telephone_number": "340-643-4890",
            "fax_number": "985-605-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BARATARIA BLVD STE 3400",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723083",
            "telephone_number": "504-265-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRSTRUP",
        "first_name": "LARRY",
        "middle_name": "GOTFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "300473",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "300473",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "300473",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "300473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James O Theis, MD
• Therapeutic Behavioral Servicess
• David Michael Theriot, M.D.
• Daniel Craig Thibodeaux, LPC
• Megan Thilman
• Pamela Thomas Augustus
• Thomas M Irwin Jr MD John G Kimble MD Apmc
• Thomas P Melancon MD LLC
• Brandy Elizabeth Thomas, MHS, LRC, CRC
• Charles W. Thomas, M.D.

• Internal Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.