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DR. MICHAEL JOSEPH BOUDREAUX D.D.S.
NPI 1154583714
Dentist - General Practice in Houma, LA

Active since June 25, 2008PECOS Enrolled
809 W TUNNEL BLVD, HOUMA, LA 70360(985) 851-1717(985) 851-7183 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Joseph Boudreaux D.d.s. NPPES

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

DR. MICHAEL JOSEPH BOUDREAUX D.D.S. (NPI 1154583714) is an individual general practice provider in Houma, Louisiana, licensed in Louisiana (5906) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Dentistry (2008).

NPPES Registry Identity

NPI1154583714
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JOSEPH BOUDREAUXCredential: D.D.S.
Location Address809 W TUNNEL BLVDHouma, LA 70360-5555
Mailing Address761 W Tunnel BlvdHouma, LA 70360-5545 · (985) 876-5430 · Fax (985) 876-0455
Phone(985) 851-1717
Fax(985) 851-7183
Sole ProprietorNo
Medical School CMSLouisiana State University School Of DentistryGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1154583714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 5906
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
809 W TUNNEL BLVD, Houma, LA 70360
Open in Google Maps ↗

Other Identifiers 1

Medicaid1859061LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Boudreaux D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860569985
PECOS Enrollment IDI20260408002915
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Boudreaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Teche Action Board, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
1014 WEST TUNNEL BLVD
Houma, LA 70360
  • Reassigned Medicare billing, Louisiana enrollment
  • 29 clinicians in this Medicare group
NPI 1215974019 (985) 851-1717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70360 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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 3

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

SANDI P NEIL NURSE PRACTITIONER
Nurse Practitioner
809 W TUNNEL BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 851-1717
REBECCA ANN BOWEN FNP
Nurse Practitioner (Family)
809 W TUNNEL BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 851-1717
MR. DONALD J AIRHART LCSW
Social Worker (Clinical)
809 W TUNNEL BLVD
HOUMA, LA 70360
Terrebonne Parish (985) 851-1717

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 Michael Boudreaux's NPI number?

The NPI number for Michael Boudreaux is 1154583714. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Michael Boudreaux located?

Michael Boudreaux practices at 809 W Tunnel Blvd, Houma, LA 70360. The listed phone number is (985) 851-1717.

What is Michael Boudreaux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Boudreaux enrolled in Medicare?

Yes. Michael Boudreaux is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Boudreaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boudreaux reassigns Medicare benefits to Teche Action Board, Inc. (Houma, LA). The 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 Michael Boudreaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Boudreaux accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 3 other insurers list Michael Boudreaux 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 Michael Boudreaux was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.