Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. R Chase Thebault, MD

Individual provider Family Medicine Physician · NPI 1699920082

Dr. R Chase Thebault, MD is a Family Practice in Detroit, Michigan. Graduated from Texas Tech University Health Science Center School of Medicine in 2006, 20 years ago. Practices with Covenant Community Care, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5555 Conner St Ste 2818
Detroit, MI 48213-3448
Phone: (313) 264-6490
Fax: (313) 464-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301104510 (MI)

Record details

NPI number1699920082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 26, 2008
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Covenant Community Care, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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