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JONATHAN THIEN-PHU TIEU DO
NPI 1104767060
Internal Medicine in Jefferson, LA

Active since April 03, 2026PECOS Enrolled
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR, JEFFERSON, LA 70121(504) 842-3260(504) 842-3193 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Thien-phu Tieu Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN THIEN-PHU TIEU DO (NPI 1104767060) is an individual internal medicine provider in Jefferson, Louisiana, licensed in Louisiana (720502505) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104767060
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN THIEN-PHU TIEUCredential: DO
Location Address1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOORJefferson, LA 70121
Mailing Address1401 A Jefferson Highway, Academic Center, 1st FloorJefferson, LA 70121 · (504) 842-3260 · Fax (504) 842-3193
Phone(504) 842-3260
Fax(504) 842-3193
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedMarch 29, 2026
✔ NPI 1104767060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 720502505
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 A JEFFERSON HIGHWAY, Jefferson, LA 70121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Thien-phu Tieu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVI GIRISH CHACHAD
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
BETZABETH DEL VALLE VILLANUEVA MEZA MD
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
RACHEL EVELYN WELCH
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
SOPHIA COULTER MD
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
JOCELYN WENDY HUILING IHNAT
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
JOHN-JORDAN SHOCKLEY NUNNERY MD
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
SARAH CLARK NEELY
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
JOHN CONNOR WOODARD MD
Student in an Organized Health Care Education/Training Program
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260

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 Jonathan Tieu's NPI number?

The NPI number for Jonathan Tieu is 1104767060. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Jonathan Tieu located?

Jonathan Tieu practices at 1401 A Jefferson Highway Academic Center, 1st Floor, Jefferson, LA 70121. The listed phone number is (504) 842-3260.

What is Jonathan Tieu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Tieu enrolled in Medicare?

Yes. Jonathan Tieu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Tieu was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.