Individual provider Active NPI

Carl M Gauthier Jr., M.D.

  • Rheumatology Physician
  • Hammond, LA
National Provider Identifier
1649460239
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD.201999 Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 400
Hammond, LA 70403-1431
Phone
(985) 230-1835
Fax
(985) 230-1836
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD.201999 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 400
Hammond, LA 70403-1431

Mailing address

PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-1835

Other identifiers 1

IdentifierTypeStateIssuer
1077330MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ North Oaks Physician Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110818000891 LA Practitioner - RheumatologyPractitioner - Internal Medicine 3971773490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians
North Oaks Physician Group LLCGroup PAC ID 9133378870, 62 clinicians

Practice addresses (Care Compare)

15770 Paul Vega MD Dr
Hammond, LA 70403-1475

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

15795 Paul Vega MD Dr
Suite 100
Hammond, LA 70403-1475
Phone (985) 230-3937

15813 Paul Vega MD Dr
Suite 201
Hammond, LA 70403-1431
Phone (985) 230-7440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
74.29
Promoting interoperability
100
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201999LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Oct 1, 2012 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 5, 2022 Accepting new patients
Hospital Service District #1 of Tangipahoa Past Accepting new patients

Locations

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 401A
Hammond, LA 70403
Phone (985) 230-1580

15813 Paul Vega Md Dr
Hammond, LA 70403

15770 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-7860

15813 Paul Vega Md Dr
Ste 400
Hammond, LA 70403
Phone (985) 230-1835

17199 Spring Ranch Rd
Ste 210
Livingston, LA 70754
Phone (225) 686-4800

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1649460239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-1835",
            "fax_number": "985-230-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 400",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-1835",
            "fax_number": "985-230-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "CARL",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "MD.201999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077330",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "15813 Paul Vega Md Dr Ste 400",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.