Active NPI
Benjamin Blair Gautreaux, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP06520
- Practice address
- 15790 Paul Vega MD Dr
Anesthesia Department
Hammond, LA 70403-1434 - Phone
- (985) 230-1682
- Fax
- (985) 230-1617
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP06520 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Anesthesia Department
Hammond, LA 70403-1434
Mailing address
PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-2198
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157809 | Medicaid | LA | |
| AP06520 | Other | LA | CRNA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 W Hwy 30
Gonzales, LA 70737-5004
Phone (225) 765-6565
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06520 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northlake Endoscopy, LLC | Current | Accepting new patients | |
| Gastroenterology Anesthesia LLC | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Past | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients |
Locations
7015 Highway 190 East Service Rd
Ste 103
Covington, LA 70433
Phone (985) 273-3915
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
16061 Doctors Blvd
Ste A
Hammond, LA 70403
Phone (985) 345-6090
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Specialist
- Hammond, LA
- NPI 1699089581
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Hammond, LA
- NPI 1942202221
-
- Clinical Medical Laboratory
- Hammond, LA
- NPI 1619303773
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1477841674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2668",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042668",
"telephone_number": "985-230-2198",
"fax_number": "985-230-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-1682",
"fax_number": "985-230-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTREAUX",
"first_name": "BENJAMIN",
"middle_name": "BLAIR",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP06520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2157809",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE",
"identifier": "AP06520",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.