THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1306125133
Internal Medicine in Thibodaux, LA

Q: What is Thibodaux Regional Network Development Corporation's specialty?

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

Active since August 10, 2011

900 N CANAL BLVD, THIBODAUX, LA 70301(985) 493-4004(985) 493-4007 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Dec 1, 2025, May 9, 2024 and 3 more (6 updates tracked since 2020).

On this page

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 1306125133), doing business as Thibodaux Regional Internal Medicine Clinic, is a healthcare organization registered as an internal medicine in Thibodaux, Louisiana and active in the NPI registry since August 2011. The organization maintains a secondary practice location in Thibodaux and lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1306125133

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address900 N CANAL BLVDThibodaux, LA 70301-8096

Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 493-4907 · Fax (985) 449-2585

Phone(985) 493-4004

Fax(985) 493-4007

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxContract Manager · (985) 493-4907

Enumeration DateAugust 10, 2011

Last NPPES UpdateJune 1, 20266 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1306125133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

900 N CANAL BLVD, Thibodaux, LA 70301

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Other Names 1

Doing Business AsThibodaux Regional Internal Medicine Clinic

Secondary Practice Location 1

Location 1400 N Acadia RdThibodaux, LA 70301-4856 · Phone (985) 493-4004 · Fax (985) 493-4007

Other Identifiers 1

Medicaid2403915LA

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, 81 practice 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

Lauren Beaudean, FNP

Nurse Practitioner

NPI 1689030140

807 RIDGEFIELD RD
Thibodaux, LA 70301

(985) 447-9045

✔ PECOS0.4 mi

Sheila Pitre, MD

Pediatric Medicine

NPI 1124045620

807 RIDGEFIELD RD
Thibodaux, LA 71301

(985) 447-9045

✔ PECOS0.4 mi

Clel Acosta, MD

Anesthesiology

NPI 1750310306

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4750

✔ PECOS✔ Accepts Medicare0.6 mi

Troy Albert, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1871704866

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4750

✔ Accepts Medicare0.6 mi

Dwayne Andras, NP

Nurse Practitioner

NPI 1043324684

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4740

✔ PECOS✔ Accepts Medicare0.6 mi

Blain Arthurs, M.D.

Diagnostic Radiology

NPI 1790892784

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.6 mi

Jorge Bravo, MD

Anesthesiology

NPI 1598726853

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4750

✔ PECOS✔ Accepts Medicare0.6 mi

Christopher Chaisson, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1558656918

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4511

✔ Accepts Medicare0.6 mi

Gregory Dobard, M.D.

Diagnostic Radiology

NPI 1083680268

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.6 mi

Hadi Elias, M.D.

Cardiovascular Disease (Cardiology)

NPI 1114380573

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.6 mi

Brandon Gil, MD

Family Practice

NPI 1770903205

602 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4740

✔ PECOS✔ Accepts Medicare0.6 mi

Seth Guidry, MD

Internal Medicine

NPI 1144607151

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.6 mi

Elizabeth Mortazavi, D.O.

Pain Management

NPI 1164956389

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.6 mi

Blainey Nicholas, M.D.

Emergency Medicine

NPI 1306870001

602 N ACADIA RD
Thibodaux, LA 70301

(504) 837-8000

✔ PECOS0.6 mi

Nguyen Dang, M.D.

Radiation Oncology

NPI 1447493986

608 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4338

✔ PECOS✔ Accepts Medicare0.6 mi

Ricky Miller, MD

Interventional Radiology

NPI 1619317500

602 N ACADIA RD
Thibodaux, LA 70301

(985) 435-4831

✔ PECOS✔ Accepts Medicare0.6 mi

Johnathan Wise, MD

Obstetrics/Gynecology

NPI 1992125355

406 N ACADIA RD
Thibodaux, LA 70301

(985) 446-2890

✔ PECOS✔ Accepts Medicare0.7 mi

Sandeep Patel, MD

Interventional Cardiology

NPI 1861490534

1320 MARTIN LUTHER KING DR
Thibodaux, LA 70301

(985) 446-2021

✔ PECOS✔ Accepts Medicare0.8 mi

Thomas Dukovac, M.D.

Urology

NPI 1548641061

504 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5667

✔ PECOS✔ Accepts Medicare0.8 mi

Pasam Rao, MD

Gastroenterology

NPI 1023152063

1107 AUDUBON AVE A
Thibodaux, LA 70301

(985) 447-7004

✔ PECOS✔ Accepts Medicare1.0 mi

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 1306125133. It was assigned to this organization in the NPPES registry on August 10, 2011. The provider is doing business as Thibodaux Regional Internal Medicine Clinic.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 900 N Canal Blvd, Thibodaux, LA 70301. The listed phone number is (985) 493-4004.

What is Thibodaux Regional Network Development Corporation's specialty?

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

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, 81 practice 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 1, 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.