THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-HOUMA
NPI 1730854423
Internal Medicine in Houma, LA

NPI Status: Active since August 13, 2021

Contact Information

1238 SAINT CHARLES ST
HOUMA, LA
ZIP 70360
Phone: (985) 872-9430
Fax: (985) 872-9534

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 19D2248040
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-10-2028

About THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-HOUMA

This page provides the complete NPI Profile along with additional information for Thibodaux Regional Multi-specialty Clinic-houma, an internist established in Houma, Louisiana operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1730854423 assigned on August 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Thibodaux Regional Multi-specialty Clinic-houma operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Thibodaux Regional Multi-specialty Clinic-houma. The authorized official of this NPI record is Kim Legendre Boudreaux (Director Of Contracting)

NPI
1730854423
Provider Legal Name
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Other Organization Name
THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-HOUMA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1238 SAINT CHARLES ST HOUMA, LA 70360
Location Phone
(985) 872-9430
Location Fax
(985) 872-9534
Mailing Address
602 N ACADIA RD THIBODAUX, LA 70301
Mailing Phone
(985) 435-4831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2021
Last Update Date
02-20-2024
Code Navigator

An internist like Thibodaux Regional Multi-specialty Clinic-houma is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
3207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
5207XX0004XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Foot and Ankle Surgery

 
6208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
72084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
82086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 
9208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
10213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM LEGENDRE BOUDREAUX

Authorized Official Title
DIRECTOR OF CONTRACTING
Authorized Official Phone
(985) 493-4907

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2248040
Facility Type
Physician Office
Certificate Effective Date
January 11, 2026
Certificate Expiration Date
January 10, 2028
Laboratory Director
DEVIN BOURGEOIS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Thibodaux Regional Multi-specialty Clinic-houma in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730854423, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 6 + 5 + 8 + 4 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1730854423.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
1238 SAINT CHARLES ST
HOUMA, LA 70360
Pharmacist
1238 SAINT CHARLES ST
HOUMA, LA 70360
Pharmacist
1238 SAINT CHARLES ST
HOUMA, LA 70360
Pharmacy
1238 SAINT CHARLES ST
HOUMA, LA 70360
Family Medicine
1238 SAINT CHARLES ST
HOUMA, LA 70360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730854423, enumerated as an "organization" on August 13, 2021.

The provider is located at 1238 SAINT CHARLES ST HOUMA, LA 70360 and the phone number is (985) 872-9430.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.