NPIMap

Individual provider Active NPI

Louis Thibodeaux, M.D.

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1922080308
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35063926 Issued in OH
Practice address
11155 Kenwood Rd
Cincinnati, OH 45242-1817
Phone
(513) 385-1919
Fax
(513) 385-6208
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35063926 OH Primary
Vascular Surgery Physician 2086S0129X 35063926 OH

Addresses

Primary practice location

11155 Kenwood Rd
Cincinnati, OH 45242-1817

Mailing address

11155 Kenwood Rd
Cincinnati, OH 45242-1817
Phone (513) 385-1919

Other identifiers 11

IdentifierTypeStateIssuer
0943242MedicaidOH
310837421SAOtherOHEMERALD HEALTH
000000007820OtherOHANTHEM
100328970AMedicaidOH
64958879MedicaidOH
14096OtherOHNATIONWIDE
310837421027MedicaidOH
1701181OtherOHUNITED HEALTHCARE
9246433001OtherOHCIGNA
0972646OtherOHAETNA
310837421OtherOHWAUSAU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051012000350 OH Practitioner - General Surgery 4284659905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

10506 Montgomery Rd
Montgomery, OH 45242-4400

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

5861 Cinema Dr
Milford, OH 45150-1489
Phone (513) 853-9000

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
  • Select Specialty Hospital-Cincinnati, Inc Long-term care hospital, Cincinnati, OH, CCN 362019

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue589
Removal of skin lesions1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063926OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Healogics Specialty Physicians of Ohio, LLC Surgery CurrentSince Jul 16, 2018 Accepting new patients
Trihealth G LLC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC Surgery CurrentSince Nov 1, 2021 Accepting new patients
General & Vascular Surgical Specialists, Inc. Surgery PastSince Jan 1, 2011 Accepting new patients
Bethesda Hospital Inc Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

11155 Kenwood Rd
Blue Ash, OH 45242

11155 Kenwood Rd
Ste 6C
Blue Ash, OH 45242

330 Straight St
Ste 210
Cincinnati, OH 45219
Phone (513) 557-3200

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827

5861 Cinema Dr
Milford, OH 45150
Phone (513) 248-8800

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10498 Montgomery Rd
Montgomery, OH 45242
Phone (513) 793-6894

Interoperability endpoints

  • Direct secure messaging: lthibodeaux33862@direct.trihealth.com

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 10

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1922080308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-385-1919",
            "fax_number": "513-385-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-385-1919",
            "fax_number": "513-385-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35063926",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35063926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0943242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERALD HEALTH",
            "identifier": "310837421SA",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000007820",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100328970A",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64958879",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "14096",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310837421027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1701181",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9246433001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0972646",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU",
            "identifier": "310837421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.