Active NPI
Beau David Boudreaux, M.D.
- Rheumatology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD.207047
- Practice address
- 726 N Acadia Rd Ste 3400
Thibodaux, LA 70301-5009 - Phone
- (985) 449-4656
- NPI assigned
- May 10, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rheumatology Physician | 207RR0500X | MD.207047 | LA | Primary |
| Internal Medicine Physician | 207R00000X | MD.207047 | LA |
Addresses
Primary practice location
726 N Acadia Rd Ste 3400
Thibodaux, LA 70301-5009
Mailing address
PO Box 5478
Thibodaux, LA 70302-5478
Phone (985) 449-4656
Other practice location 1
1542 Tulane Ave
Mail Box T4M-2
New Orleans, LA 70112-2865
Phone (504) 568-4498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153200 | Medicaid | LA |
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
- Rheumatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N Acadia Rd
Thibodaux, LA 70301-4823
602 N Acadia Rd
Thibodaux, LA 70301-4847
608 N Acadia Rd
Thibodaux, LA 70301-4847
726 N Acadia Rd
Suite 3400
Thibodaux, LA 70301-5011
Phone (985) 449-4656
Hospital & facility affiliations
- Thibodaux Regional Medical Center
- Terrebonne General Medical Center - Parish
- Ochsner St Anne General Hospital
- Lady of the Sea General Hospital
- Ochsner St Mary
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Rheumatology | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Past | Accepting new patients |
Locations
1542 Tulane Ave
#T4M2
New Orleans, LA 70112
Phone (504) 568-2577
726 N Acadia Rd
Ste 3400
Thibodaux, LA 70301
Phone (985) 449-4656
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Rheumatology Physician
- Thibodaux, LA
- NPI 1083921944
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
-
- Diagnostic Radiology Physician
- Thibodaux, LA
- NPI 1467427336
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cut Off, LA
- NPI 1407883341
-
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
- General Acute Care Hospital
- Morgan City, LA
- NPI 1205482023
-
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972895886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5478",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703025478",
"telephone_number": "985-449-4656",
"fax_number": "985-449-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 N ACADIA RD STE 3400",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015009",
"telephone_number": "985-449-4656"
}
],
"practiceLocations": [
{
"address_1": "1542 Tulane Ave",
"address_2": "Mail Box T4M-2",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122865",
"country_code": "US",
"telephone_number": "504-568-4498",
"fax_number": "504-568-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUDREAUX",
"first_name": "BEAU",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "LA",
"license": "MD.207047",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.207047",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2153200",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.