Jerry W Gauthier, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

H9945 Issued in TX

Practice address

1140 Business Center Dr
Suite 370
Houston, TX 77043-2737

Phone

(713) 271-6881

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pathology

Education

University of Texas Medical School at San Antonio, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangini Lakhia and Associates PAGroup PAC ID 5799740338, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.gauthier.1@13131.direct.athenahealth.com

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.

• Mangini, Lakhia and Associates, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1649239328
  Medicare reassignment Care Compare group NPD Authorized official
• Gulf Coast Pathology Program PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1629643069
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1740203397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421756",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421756",
            "telephone_number": "281-880-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-271-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "JERRY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H9945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00358430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nischal Krishnamurthy Gautam, M.D.
• Rupesh Gautam, MD
• Veena Sathyakumar Gautam, MD
• Kanekal Suresh Gautham, MBBS, MD, DM, MS
• Anna M Gauthier, RPH.
• Polly King Gauthier, M.D.
• Kyra Marie Gautier, AA
• Elizabeth A.L. Gautreaux
• J Depaul Gautreaux
• Shawn Gautreaux

• Anatomic Pathology & Clinical Pathology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.