NPIMap

Individual provider Active NPI

Matthew Taylor, MD

  • Family Medicine Physician
  • Thibodaux, LA
National Provider Identifier
1902434368
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
331531 Issued in LA
Practice address
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone
(337) 494-2023
Fax
(337) 430-6966
NPI assigned
Mar 31, 2020
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 331531 LA Primary

Addresses

Primary practice location

602 N Acadia Rd
Thibodaux, LA 70301-4823

Mailing address

196 Grand Lakes Dr
Thibodaux, LA 70301-1610
Phone (337) 581-6358

Other identifiers 1

IdentifierTypeStateIssuer
2524861MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817003886 LA Practitioner - Family Practice 2668893140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2031 Audubon Ave
Thibodaux, LA 70301-5073
Phone (985) 280-3838

4560 Hwy 1
Suite 3
Raceland, LA 70394-2779
Phone (985) 251-4250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
53.82
Promoting interoperability
99
Improvement activities
40
Cost
78.66

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331531LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Urgent Care LLC Current Accepting new patients
Thibodaux Regional Urgent Care LLC CurrentSince Oct 1, 2023 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 14, 2023 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 14, 2023 Accepting new patients
Thibodaux Regional Urgent Care, LLC CurrentSince Oct 1, 2023 Accepting new patients
Arkansas Elder Outreach of Little Rock, Inc. Past Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

1238 Saint Charles St
Houma, LA 70360
Phone (985) 872-9430

1411 Saint Charles St
Houma, LA 70360
Phone (985) 256-4065

4560 Highway 1
Ste 3
Raceland, LA 70394
Phone (985) 251-4250

290 Bowie Rd
Ste A
Thibodaux, LA 70301
Phone (985) 493-4140

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

604 N Acadia Rd
Ste 406A
Thibodaux, LA 70301
Phone (985) 493-3034

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25352/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.taylor.1@25352.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1902434368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 GRAND LAKES DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703011610",
            "telephone_number": "337-581-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014823",
            "telephone_number": "337-494-2023",
            "fax_number": "337-430-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "331531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.