THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1003430257
Surgery - Plastic and Reconstructive Surgery in Thibodaux, LA
About Thibodaux Regional Network Development Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1003430257), doing business as Thibodaux Regional Plastic & Reconstructive Surgery Clinic, is a healthcare organization registered as a plastic and reconstructive surgery in Thibodaux, Louisiana and active in the NPI registry since June 2020. The organization lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thibodaux Regional Network Development Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
179Medicare enrollment records show 179 clinicians reassign Medicare billing to Thibodaux Regional Network Development Corporation, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 81 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 179Thibodaux, LA 70301
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thibodaux Regional Network Development Corporation's NPI number?
The NPI number for Thibodaux Regional Network Development Corporation is 1003430257. It was assigned to this organization in the NPPES registry on June 3, 2020. The provider is doing business as Thibodaux Regional Plastic & Reconstructive Surgery Clinic.
Where is Thibodaux Regional Network Development Corporation located?
Thibodaux Regional Network Development Corporation is located at 608 N Acadia Rd Ste 3B, Thibodaux, LA 70301. The listed phone number is (985) 493-4490.
What is Thibodaux Regional Network Development Corporation's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Thibodaux Regional Network Development Corporation enrolled in Medicare?
Yes. Thibodaux Regional Network Development Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thibodaux Regional Network Development Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 30 Medicare specialties reassign their Medicare billing to Thibodaux Regional Network Development Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32) and Obstetrics/Gynecology (15). Of these, 22 practice at this address and 81 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thibodaux Regional Network Development Corporation accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thibodaux Regional Network Development Corporation was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thibodaux Regional Network Development Corporation · NPI 1003430257
Plastic and Reconstructive Surgery organization in Thibodaux, Louisiana. Organization record, active in the CMS NPPES registry since June 3, 2020.
## Identity
- **NPI:** 1003430257 (Entity type: Organization)
- **Enumerated:** June 3, 2020
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Also known as:** Thibodaux Regional Plastic & Reconstructive Surgery Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kim Boudreaux, CONTRACT MANAGER
## Practice location
- **Address:** 608 N ACADIA RD, STE 3B, Thibodaux, LA 70301-4847
- **Phone:** (985) 493-4490 · **Fax:** (985) 493-4491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 179 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32), Obstetrics/Gynecology (15); 22 practice at this address and 81 within 10 miles; [full list](https://npiprofile.com/npi/1003430257/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003430257) · Data from the CMS NPPES public registry.