JACQUES THIBODEAUX MD
NPI 1609622828
Student in an Organized Health Care Education/Training Program in Louisville, KY
About Jacques Thibodeaux Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUES THIBODEAUX MD (NPI 1609622828) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacques Thibodeaux Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Jacques Thibodeaux's NPI number?
The NPI number for Jacques Thibodeaux is 1609622828. It was assigned to this individual provider in the NPPES registry on April 29, 2024.
Where is Jacques Thibodeaux located?
Jacques Thibodeaux practices at 550 S Jackson St Fl 3, Louisville, KY 40202. The listed phone number is (502) 852-5666.
What is Jacques Thibodeaux's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacques Thibodeaux enrolled in Medicare?
Yes. Jacques Thibodeaux is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacques Thibodeaux was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacques Thibodeaux, MD · NPI 1609622828
Student in an Organized Health Care Education/Training Program provider in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since April 29, 2024.
## Identity
- **NPI:** 1609622828 (Entity type: Individual)
- **Enumerated:** April 29, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 550 S JACKSON ST FL 3, Louisville, KY 40202-1622
- **Phone:** (502) 852-5666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609622828) · Data from the CMS NPPES public registry.