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
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- 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
Lsuhn Billing LLC
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 82.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.35 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180816000977 | LA | Practitioner - Internal Medicine |
1355640699 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Internal Medicine | Current |
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
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Lashonda Rene Ard
- Alexis Celeste Ardoin
- Alton J Ardoin
- Jock Ardoin
- Kacey Elizabeth Ardoin
- Shelley Ann Ardonne
- Ashton Lynne Arendell
- Miriam Aretsky
- Arghami Periodontics and Implants
- Afarin Arghami
All providers in Baton Rouge, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.