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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELISE THIBODEAUX
NPI 1356173868
Family Medicine in Lake Charles, LA

Active since August 14, 2024PECOS Enrolled
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-6767(337) 494-6750 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2026, Aug 14, 2024 (2 updates tracked since 2024).

About Elise Thibodeaux NPPES

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

ELISE THIBODEAUX (NPI 1356173868) is an individual family medicine provider in Lake Charles, Louisiana, licensed in Louisiana (1356173868) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356173868
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELISE THIBODEAUX
Location Address1525 OAK PARK BLVDLake Charles, LA 70601-8849
Mailing Address1525 Oak Park BlvdLake Charles, LA 70601-8849 · (337) 494-6767 · Fax (337) 494-6750
Phone(337) 494-6767
Fax(337) 494-6750
Sole ProprietorNo
Enumeration DateAugust 14, 2024
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1356173868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 1356173868
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1525 OAK PARK BLVD, Lake Charles, LA 70601
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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)

Elise Thibodeaux 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 70601 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
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

DR. HANNAH ALEXIS CANTER DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023
KATELYN ELIZABETH CARRELL MD
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
TANNER JAMES MARCEAUX DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2202
DR. JOSEPH PAUL STRINGFELLOW DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023
RICHA SHARMA M.D.
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
LSUHSC FAMILY PRACTICE CENTER @ LCMH
Family Medicine
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
MS. NAOMI CHERIAN M.D.
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
DR. SHREYAS VENKAT PEDDIGARI MD
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023

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 Elise Thibodeaux's NPI number?

The NPI number for Elise Thibodeaux is 1356173868. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Elise Thibodeaux located?

Elise Thibodeaux practices at 1525 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-6767.

What is Elise Thibodeaux's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elise Thibodeaux enrolled in Medicare?

Yes. Elise Thibodeaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Thibodeaux was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.