THIBODAUX MEDICAL CLINIC
NPI 1083727838
Clinic/Center - Rural Health in Thibodaux, LA
About Thibodaux Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIBODAUX MEDICAL CLINIC (NPI 1083727838) is a healthcare organization registered as a rural health in Thibodaux, Louisiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Gayathri Talluri, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 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 Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Thibodaux Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D0988136
Thibodaux Medical Center · Thibodaux, LAFrequently 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 Raja Talluri MD A Professional Medical Corporation's NPI number?
The NPI number for Raja Talluri MD A Professional Medical Corporation is 1083727838. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Thibodaux Medical Clinic.
Where is Raja Talluri MD A Professional Medical Corporation located?
Raja Talluri MD A Professional Medical Corporation is located at 931 N Canal Blvd, Thibodaux, LA 70301. The listed phone number is (985) 446-6381.
What is Raja Talluri MD A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Raja Talluri MD A Professional Medical Corporation enrolled in Medicare?
Yes. Raja Talluri MD A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Raja Talluri MD A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Raja Talluri MD A Professional Medical 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 (7), Internal Medicine (1) and Psychiatry (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Raja Talluri MD A Professional Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0988136) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Raja Talluri MD A Professional Medical Corporation accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Raja Talluri MD A Professional Medical 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 Raja Talluri MD A Professional Medical Corporation was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 Medical Clinic · NPI 1083727838
Rural Health organization in Thibodaux, Louisiana. Organization record, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1083727838 (Entity type: Organization)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Raja Talluri Md A Professional Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Gayathri Talluri, OWNER
## Practice location
- **Address:** 931 N CANAL BLVD, Thibodaux, LA 70301-8095
- **Phone:** (985) 446-6381 · **Fax:** (985) 446-5992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (1), Psychiatry (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2022
- **Other identifiers:** Medicaid 2152858 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083727838) · Data from the CMS NPPES public registry.