THIBODAUX REGIONAL RADIOLOGY
NPI 1467427336
Radiology - Diagnostic Radiology in Thibodaux, LA

Active since February 22, 2006CLIA 19D2294043 · Waiver
602 N ACADIA RD, RADIOLOGY DEPT., THIBODAUX, LA 70301(985) 447-5500 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Thibodaux Regional Radiology NPPES

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

THIBODAUX REGIONAL RADIOLOGY (NPI 1467427336) is a healthcare organization registered as a diagnostic radiology in Thibodaux, Louisiana and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2027, maintains a secondary practice location in Thibodaux, and lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1467427336
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Location Address602 N ACADIA RD, RADIOLOGY DEPT.Thibodaux, LA 70301-4847
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 447-5500
Organization SubpartNo
Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907
Enumeration DateFebruary 22, 2006
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1467427336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
602 N ACADIA RD, Thibodaux, LA 70301

Other Names 1

Doing Business AsThibodaux Regional Radiology

Secondary Practice Location 1

Location 1726 N Acadia Rd Ste 1500Thibodaux, LA 70301-5051 · Phone (985) 493-4756 · Fax (985) 449-2552

Other Identifiers 1

Medicaid1948756LA

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

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 Radiology 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 Radiology, 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
Anesthesiology
NPI 1750310306
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871704866
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043324684
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4740
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1790892784
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1598726853
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4750
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558656918
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4511
✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1083680268
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639705924
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1114380573
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770903205
602 N ACADIA RD
Thibodaux, LA 70301
(985) 493-4740
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144607151
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760638308
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215165683
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Anesthesiology
NPI 1295059202
602 N ACADIA RD ANESTHESIA DEPT.
Thibodaux, LA 70301
(985) 438-1188
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1164956389
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629224266
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1306870001
602 N ACADIA RD
Thibodaux, LA 70301
(504) 837-8000
✔ PECOSSame address
Family Practice
NPI 1902434368
602 N ACADIA RD
Thibodaux, LA 70301
(337) 494-2023
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164158911
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2294043

Thibodaux Regional Cardiology Clinic · Thibodaux, LA
Active · expires Nov 16, 2027
CLIA Number19D2294043
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorHadi Elias
Laboratory Phone(985) 493-4993
Laboratory LocationThibodaux Regional Cardiology Clinic602 N Acadia Rd, Ste 101, Thibodaux, LA 70301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1467427336. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Thibodaux Regional Radiology.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 602 N Acadia Rd Radiology Dept., Thibodaux, LA 70301. The listed phone number is (985) 447-5500.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

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.

Does Thibodaux Regional Network Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2294043) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thibodaux Regional Network Development Corporation accept?

Health plans from AmeriHealth Caritas Next, 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 September 5, 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.