Active NPI
Gunnar Keppler Gouras, MD
- Neurology Physician
- New York, NY
National Provider Identifier
1942397039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 199780
- Practice address
- 428 E 72ND St Ofc 500
New York, NY 10021-4635 - Phone
- (212) 746-2344
- Fax
- (212) 746-5584
- NPI assigned
- Oct 9, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 199780 | NY | Primary |
Addresses
Primary practice location
428 E 72ND St Ofc 500
New York, NY 10021-4635
Mailing address
520 E 70TH St # Starr-607
New York, NY 10021-9800
Phone (212) 746-0373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01789073 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian/Queens | Neurology | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1942397039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 70TH ST # STARR-607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "212-746-0373",
"fax_number": "212-746-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 72ND ST OFC 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "212-746-2344",
"fax_number": "212-746-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURAS",
"first_name": "GUNNAR",
"middle_name": "KEPPLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "199780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01789073",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.