Active NPI
Henry P Gottsch, MD
- Urology Physician
- Casper, WY
National Provider Identifier
1831209253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- TL1802
- Practice address
- 1416 E a St
S-101
Casper, WY 82601-2276 - Phone
- (307) 577-8600
- Fax
- (307) 577-8605
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | TL1802 | WY | Primary |
Addresses
Primary practice location
1416 E a St
S-101
Casper, WY 82601-2276
Mailing address
1416 E a St
S-101
Casper, WY 82601-2276
Phone (307) 577-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720009749 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120824000072 | WY | Practitioner - Urology | 5799932877 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Washington School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Wyoming Urological Associates, PC
Practice addresses (Care Compare)
1416 E a St
Suite 101
Casper, WY 82601-2276
Phone (307) 577-8600
Hospital & facility affiliations
- Banner Wyoming Medical Center
- Sagewest Health Care
- Memorial Hospital of Converse County
- Platte County Hospital
- Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.5 of 100
- Quality
- 25
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.71 of 100
- Quality
- 39.66
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Prostate resection | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL1802 | WY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wyoming Urological Associates, PC | Urology | Current | Accepting new patients |
Locations
1416 E A St
#S101
Casper, WY 82601
Phone (307) 577-8600
1416 E A St
Ste 101
Casper, WY 82601
Phone (307) 577-8600
1025 College View Dr
Riverton, WY 82501
Phone (307) 856-0346
Interoperability endpoints
- henrygottsch@cwu.allscriptsdirect.net
- henry.gottsch@direct.wyomingmedicalcenter.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10022903
- hgottsch@yourcarecommunity.org
Organizations & group practices 1
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 6
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1831209253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 E A ST",
"address_2": "S-101",
"city": "CASPER",
"state": "WY",
"postal_code": "826012276",
"telephone_number": "307-577-8600",
"fax_number": "307-577-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 E A ST",
"address_2": "S-101",
"city": "CASPER",
"state": "WY",
"postal_code": "826012276",
"telephone_number": "307-577-8600",
"fax_number": "307-577-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCH",
"first_name": "HENRY",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WY",
"license": "TL1802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720009749",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.