Tiffany Wesley Ardoin, M.D.

Individual provider Active NPI Internal Medicine Physician · Baton Rouge, LA

NPI 1821484080 · NPPES record last updated Dec 5, 2024

Key facts

NPI
1821484080
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
303945 (LA)
Practice address
5246 Brittany Dr
Baton Rouge, LA 70808
Phone
(225) 757-4300
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Hospitalist
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of the Lake Physician Group LLC (637 clinicians)
Lsuhn Billing LLC (203 clinicians)

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-4050

5131 Odonovan Dr
Baton Rouge, LA 70808-4791
Phone (225) 374-0110

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital · Baton Rouge, LA · CCN 190064

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100 (group)
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100 (group)
Quality
80.15
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180816000977 LA Practitioner - Internal Medicine
Practitioner - Hospitalist
1355640699 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Current
since Apr 22, 2024
Accepting new patients
Lsuhn Billing LLC Current
since Jul 1, 2018
Accepting new patients
Lsuhn Billing LLC Current
since Jul 1, 2018
Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current
since Apr 22, 2024
Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Lsuhn Billing LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients

Locations

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

5131 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 374-0120

5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 303945 LA
Internal Medicine Physician 207R00000X 303945 LA Yes

Addresses

Primary practice location

5246 Brittany Dr
Baton Rouge, LA 70808

Mailing address

5131 Odonovan Dr
Baton Rouge, LA 70808-4791
Phone (225) 374-0120

Other practice location 1

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-4050

Other names

  • Tiffany Wesley Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2024.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1821484080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084791",
            "telephone_number": "225-374-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-757-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hennessy Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084375",
            "country_code": "US",
            "telephone_number": "225-765-4050",
            "fax_number": "225-765-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "TIFFANY",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "303945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "303945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WESLEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Internal Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.