THIBODAUX SURGICAL SPECIALISTS
NPI 1336193911
Specialist in Thibodaux, LA

Active since May 19, 2006
604 N ACADIA RD, SUITE 207, THIBODAUX, LA 70301(985) 446-1763(985) 446-9813 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thibodaux Surgical Specialists NPPES

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

THIBODAUX SURGICAL SPECIALISTS (NPI 1336193911) is a healthcare organization registered as a specialist in Thibodaux, Louisiana and active in the NPI registry since May 2006. The organization lists Nadine Hebert, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1336193911
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHIBODAUX SURGICAL SPECIALISTS
Location Address604 N ACADIA RD, SUITE 207Thibodaux, LA 70301-4847
Mailing Address604 N Acadia Rd, Suite 207Thibodaux, LA 70301-4847 · (985) 446-1763 · Fax (985) 446-9813
Fax(985) 446-9813
Organization SubpartNo
Authorized OfficialNadine HebertSupervisor · (985) 446-1763
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336193911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
604 N ACADIA RD, Thibodaux, LA 70301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thibodaux Surgical Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20050725001024Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Thibodaux Surgical Specialists, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

General Surgery
NPI 1801884812
604 N ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1780686683
604 NORTH ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOSSame address
General Surgery
NPI 1750379814
604 N ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1285824847
604 N. ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address

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 Surgical Specialists's NPI number?

The NPI number for Thibodaux Surgical Specialists is 1336193911. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Thibodaux Surgical Specialists located?

Thibodaux Surgical Specialists is located at 604 N Acadia Rd Suite 207, Thibodaux, LA 70301. The listed phone number is (985) 446-1763.

What is Thibodaux Surgical Specialists's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thibodaux Surgical Specialists enrolled in Medicare?

Yes. Thibodaux Surgical Specialists is registered in the Medicare PECOS enrollment system.

When is Thibodaux Surgical Specialists's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Thibodaux Surgical Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in General Surgery, reassign their Medicare billing to Thibodaux Surgical Specialists. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thibodaux Surgical Specialists was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.