1. Home
  2. Directory
  3. Louisiana
  4. Thibodaux
  5. Internal Medicine
  6. NPI Profile

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1134813280
Internal Medicine - Interventional Cardiology in Thibodaux, LA

Active since June 02, 2023
602 N ACADIA RD STE 101, THIBODAUX, LA 70301(985) 493-4993(985) 493-4994 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Sep 6, 2023, Aug 21, 2023 and 1 more (4 updates tracked since 2023).

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 1134813280), doing business as Thibodaux Regional Cardiology Clinic, is a healthcare organization registered as an interventional cardiology in Thibodaux, Louisiana and active in the NPI registry since June 2023. The organization lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1134813280
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Location Address602 N ACADIA RD STE 101Thibodaux, LA 70301-4848
Mailing Address602 N Acadia Rd, Contract Management Dept.Thibodaux, LA 70301-4823 · (985) 493-4907 · Fax (985) 449-2585
Phone(985) 493-4993
Fax(985) 493-4994
Organization SubpartNo
Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907
Enumeration DateJune 2, 2023
Last NPPES UpdateJune 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1134813280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
602 N ACADIA RD STE 101, Thibodaux, LA 70301
Open in Google Maps ↗

Other Names 1

Doing Business AsThibodaux Regional Cardiology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

179

Medicare 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

Nurse Practitioner36
Certified Registered Nurse Anesthetist (CRNA)32
Obstetrics/Gynecology15
Family Practice10
Anesthesiology8
Cardiovascular Disease (Cardiology)8
Internal Medicine8
Diagnostic Radiology7
22 other specialties55

Nearest to this location (20)

See all 179
Clel Acosta, MD
Anesthesiology
NPI 1750310306
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ PECOS✔ Accepts MedicareSame address
Troy Albert, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871704866
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ Accepts MedicareSame address
Dwayne Andras, NP
Nurse Practitioner
NPI 1043324684
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4740
✔ PECOS✔ Accepts MedicareSame address
Blain Arthurs, M.D.
Diagnostic Radiology
NPI 1790892784
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Jorge Bravo, MD
Anesthesiology
NPI 1598726853
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ PECOS✔ Accepts MedicareSame address
Christopher Chaisson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558656918
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4511
✔ Accepts MedicareSame address
Gregory Dobard, M.D.
Diagnostic Radiology
NPI 1083680268
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Gage Duet
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639705924
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Hadi Elias, M.D.
Cardiovascular Disease (Cardiology)
NPI 1114380573
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Brandon Gil, MD
Family Practice
NPI 1770903205
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4740
✔ PECOS✔ Accepts MedicareSame address
Seth Guidry, MD
Internal Medicine
NPI 1144607151
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Julie Harris, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760638308
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Christopher Kimble, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215165683
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Jared Landry, M.D.
Anesthesiology
NPI 1295059202
602 N ACADIA RD ANESTHESIA DEPT.
Thibodaux, LA 70301
(985) 438-1188
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Mortazavi, D.O.
Pain Management
NPI 1164956389
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
David Naul, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629224266
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Blainey Nicholas, M.D.
Emergency Medicine
NPI 1306870001
602 N ACADIA RD
Thibodaux, LA 70301
(504) 837-8000
✔ PECOSSame address
Matthew Taylor, MD
Family Practice
NPI 1902434368
602 N ACADIA RD
Thibodaux, LA 70301
(337) 494-2023
✔ PECOS✔ Accepts MedicareSame address
Lance Walker, MSN,FNP-BC AGACNP-BC
Nurse Practitioner
NPI 1164158911
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Nguyen Dang, M.D.
Radiation Oncology
NPI 1447493986
608 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4338
✔ PECOS✔ Accepts MedicareSame address
See all 179 clinicians

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 1134813280. It was assigned to this organization in the NPPES registry on June 2, 2023. The provider is doing business as Thibodaux Regional Cardiology Clinic.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 602 N Acadia Rd Ste 101, Thibodaux, LA 70301. The listed phone number is (985) 493-4993.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

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.