Individual provider Active NPI

Thaddeus Roland Temple, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1801854161
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017362 Issued in LA
Practice address
1221 N Broad St
New Orleans, LA 70119-3302
Phone
(504) 482-9755
Fax
(504) 482-9844
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017362 LA Primary

Addresses

Primary practice location

1221 N Broad St
New Orleans, LA 70119-3302

Mailing address

1221 N Broad St
New Orleans, LA 70119-3302
Phone (504) 482-9755

Other identifiers 2

IdentifierTypeStateIssuer
4689446990OtherLABLUE CROSS
1346659MedicaidLA

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
I20070321000080 LA Practitioner - Internal Medicine 2769585272 Reassigns benefits to 1 organization
Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

1215 N Broad St
New Orleans, LA 70119-3302
Phone (504) 262-1200

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017362LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Chapital Cardiology Clinic L.L.C. Past Accepting new patients
Optimum Sleep, LLC Past Accepting new patients

Locations

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

1215 N Broad St
New Orleans, LA 70119
Phone (504) 483-7112

Organizations & group practices 3

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 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801854161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193302",
            "telephone_number": "504-482-9755",
            "fax_number": "504-482-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193302",
            "telephone_number": "504-482-9755",
            "fax_number": "504-482-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "THADDEUS",
        "middle_name": "ROLAND",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4689446990",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346659",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.