THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-ORTHOPAEDIC SURGERY
NPI 1790115772
Orthopaedic Surgery in Thibodaux, LA

Q: What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since November 12, 2013

602 N ACADIA RD STE 101, THIBODAUX, LA 70301(985) 446-6285(985) 447-1754 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

On this page

About Thibodaux Regional Network Development Corporation-orthopaedic Surgery NPPES

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

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION-ORTHOPAEDIC SURGERY (NPI 1790115772) is a healthcare organization registered as an orthopaedic surgery in Thibodaux, Louisiana and active in the NPI registry since November 2013. The organization lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1790115772

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address602 N ACADIA RD STE 101Thibodaux, LA 70301-4848

Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 446-6284

Phone(985) 446-6285

Fax(985) 447-1754

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907

Enumeration DateNovember 12, 2013

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1790115772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

602 N ACADIA RD STE 101, Thibodaux, LA 70301

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Other Names 2

Doing Business AsThibodaux Regional Network Development Corporation-orthopaedic Surgery

Doing Business AsThibodaux Regional Orthopaedic Linic

Other Identifiers 1

Medicaid2351966LA

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

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 Network Development Corporation-orthopaedic Surgery 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 Network Development Corporation-Orthopaedic Surgery, which bills Medicare for the services they deliver. Of these, 2 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

Gerardo Arias, M.D.

Hematology/Oncology

NPI 1447265178

608 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4787

✔ PECOS✔ Accepts MedicareSame address

Scott Hebert, M.D.

Hematology/Oncology

NPI 1548603996

608 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4346

✔ PECOS✔ Accepts MedicareSame address

Jennifer Atkins, M.D.

Pediatric Medicine

NPI 1457679300

604 N ACADIA RD STE 100
Thibodaux, LA 70301

(985) 447-9045

✔ PECOS0.1 mi

Jonathan Babin, M.D.

General Surgery

NPI 1528329950

604 N ACADIA RD STE 207
Thibodaux, LA 70301

(985) 446-1763

✔ PECOS✔ Accepts Medicare0.1 mi

Bradley Ber, MD

Family Practice

NPI 1063092351

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.1 mi

John Bloss, M.D.

Obstetrics/Gynecology

NPI 1841394285

604 N ACADIA RD STE 500
Thibodaux, LA 70301

(985) 448-1216

✔ PECOS✔ Accepts Medicare0.1 mi

Dedric Clarke, MD

Cardiac Electrophysiology

NPI 1508056441

602 N. ACADIA ROAD SUITE 101
Thibodaux, LA 70301

(985) 493-4993

✔ PECOS✔ Accepts Medicare0.1 mi

Felicite' Duet

Nurse Practitioner

NPI 1356285225

602 N ACADIA RD
Thibodaux, LA 70301

(985) 791-6311

✔ PECOS0.1 mi

Chad Dugas, M.D.

Cardiovascular Disease (Cardiology)

NPI 1306004841

602 N ACADIA RD STE 101
Thibodaux, LA 70301

(985) 493-4993

✔ PECOS✔ Accepts Medicare0.1 mi

Ranese Jeffery, MD

Internal Medicine

NPI 1700440997

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts Medicare0.1 mi

Brian Parker, M.D.

Pulmonary Disease

NPI 1326208232

604 N ACADIA RD STE 411
Thibodaux, LA 70301

(985) 493-4933

✔ PECOS✔ Accepts Medicare0.1 mi

Stephanie Hughes, M.D.

Urology

NPI 1083832281

504 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5667

✔ PECOS✔ Accepts Medicare0.1 mi

Deepak Awasthi, MD

Neurosurgery

NPI 1982663340

726 N ACADIA RD STE 2100
Thibodaux, LA 70301

(985) 447-2645

✔ PECOS✔ Accepts Medicare0.1 mi

Beau Boudreaux, M.D.

Rheumatology

NPI 1972895886

726 N ACADIA RD STE 3400
Thibodaux, LA 70301

(985) 449-4656

✔ PECOS✔ Accepts Medicare0.1 mi

Bryce Casteigne, MD

Neurology

NPI 1134681034

726 N ACADIA RD STE 2300
Thibodaux, LA 70301

(985) 493-3090

✔ PECOS✔ Accepts Medicare0.1 mi

Lane Frey, M.D.

Endocrinology

NPI 1932337052

726 N ACADIA RD. STE 3300
Thibodaux, LA 70301

(985) 493-3080

✔ PECOS✔ Accepts Medicare0.1 mi

Alex Thibodeaux, MD

Physical Medicine and Rehabilitation

NPI 1508445495

726 N ACADIA RD
Thibodaux, LA 70301

(985) 493-4980

✔ PECOS✔ Accepts Medicare0.1 mi

Pasam Rao, MD

Gastroenterology

NPI 1023152063

1107 AUDUBON AVE A
Thibodaux, LA 70301

(985) 447-7004

✔ PECOS✔ Accepts Medicare0.3 mi

Sandeep Patel, MD

Interventional Cardiology

NPI 1861490534

1320 MARTIN LUTHER KING DR
Thibodaux, LA 70301

(985) 446-2021

✔ PECOS✔ Accepts Medicare0.5 mi

Ricky Miller, MD

Interventional Radiology

NPI 1619317500

602 N ACADIA RD
Thibodaux, LA 70301

(985) 435-4831

✔ PECOS✔ Accepts Medicare0.7 mi

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.

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 1790115772. It was assigned to this organization in the NPPES registry on November 12, 2013. The provider is doing business as Thibodaux Regional Network Development Corporation-Orthopaedic Surgery and Thibodaux Regional Orthopaedic linic.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 602 N Acadia Rd Ste 101, Thibodaux, LA 70301. The listed phone number is (985) 446-6285.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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, 2 practice at this address and 81 within 10 miles. 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 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.