Individual provider Active NPI

Michael Edward Gauthier, MD

  • Anesthesiology Physician
  • Virginia Beach, VA
National Provider Identifier
1477518207
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101232575 Issued in VA
Practice address
2221 Leeward Shore Dr
Virginia Beach, VA 23451-1716
Phone
(757) 641-4718
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 0101232575 VA
Anesthesiology Physician 207L00000X 0101232575 VA Primary

Addresses

Primary practice location

2221 Leeward Shore Dr
Virginia Beach, VA 23451-1716

Mailing address

2221 Leeward Shore Dr
Virginia Beach, VA 23451-1716
Phone (757) 641-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000611 VA Practitioner - Anesthesiology 8921025685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Group LLCGroup PAC ID 8527133677, 6 clinicians

Practice addresses (Care Compare)

828 Healthy Way
Suite 115
Virginia Beach, VA 23462-7958
Phone (757) 495-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101232575VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
James River Anesthesia Assoc., Inc Anesthesiology Past Accepting new patients
Millcreek Anesthesia PC Anesthesiology Past Accepting new patients
Coastal Virginia Spine and Pain Center LLC PastSince Aug 1, 2007 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology PastSince Sep 1, 2006 Accepting new patients

Locations

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

828 Healthy Way
Virginia Beach, VA 23462
Phone (757) 363-6100

828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1477518207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LEEWARD SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511716",
            "telephone_number": "757-641-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LEEWARD SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511716",
            "telephone_number": "757-641-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0101232575",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101232575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.