Active NPI
David Michael Theriot, M.D.
- Diagnostic Radiology Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 320813
- Practice address
- 1111 Medical Center Blvd Ste 108
Marrero, LA 70072-3152 - Phone
- (504) 349-1461
- NPI assigned
- May 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 320813 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 320813 | LA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd Ste 108
Marrero, LA 70072-3152
Mailing address
1111 Medical Center Blvd Ste 108
Marrero, LA 70072-3152
Phone (504) 349-1461
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
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3191
Phone (504) 349-1461
Hospital & facility affiliations
- West Jefferson Medical Center
- East Jefferson General Hospital
- Ochsner Medical Center Acute
- Touro Infirmary
- University Medical Center New Orleans
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| West Jefferson MRI, LLC | Current | Accepting new patients | |
| West Jefferson MRI, LLC | Current | Accepting new patients |
Locations
1111 Medical Center Blvd
Ste N110
Marrero, LA 70072
Phone (504) 349-6191
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4525 Westbank Expy
Ste B
Marrero, LA 70072
Phone (504) 349-6570
1111 Medical Center Blvd
Ste N108
Marrero, LA 70072
Phone (504) 349-1461
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
3100 Clearview Pkwy
Metairie, LA 70006
Phone (504) 456-5944
2121 Ridgelake Dr
Metairie, LA 70001
Phone (504) 349-1461
5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664
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.
-
- Diagnostic Radiology Physician
- Marrero, LA
- NPI 1366490849
-
- Physiological Laboratory
- Marrero, LA
- NPI 1396776837
-
- Physiological Laboratory
- Marrero, LA
- NPI 1952302929
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1821400904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD STE 108",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723152",
"telephone_number": "504-349-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD STE 108",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723152",
"telephone_number": "504-349-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERIOT",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "LA",
"license": "320813",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "320813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.