Chakshu Gautam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15033R Issued in LA

Practice address

3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209

Phone

(337) 288-5961

Fax

(337) 706-3415

NPI assigned

Jun 1, 2005

Last updated

Oct 23, 2023By the provider in NPPES

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 2

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

Specialty

Emergency MedicineAlso: Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derussy Emergency Group LLCGroup PAC ID 3870834641, 14 clinicians

Emergency Staffing Solutions IncGroup PAC ID 9830001650, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099
• Acadia St Landry Hospital, Church Point, LA, CCN 191319
• Bunkie General Hospital Hospital, Bunkie, LA, CCN 191311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgautam1657299@direct.ochsner.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Derussy Emergency Group, LLC

  • Emergency Medicine Physician
  • Marksville, LA
  • NPI 1306300900
  Medicare reassignment Care Compare group NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974
  Medicare reassignment Care Compare group
• Acadia-St. Landry Hospital Service District

  dba Acadia St. Landry Hospital

  • Emergency Medicine Physician
  • Church Point, LA
  • NPI 1518981968
  Medicare reassignment NPD
• Evangeline Clinical Services, Inc.

  dba Savoy Emergency Room Physician Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mamou, LA
  • NPI 1235510280
  Medicare reassignment NPD
• Jefferson Davis Emergency Group LLC

  • Emergency Medicine Physician
  • Jennings, LA
  • NPI 1043289572
  Medicare reassignment NPD
• Jena Ess LLC

  • Emergency Medicine Physician
  • Jena, LA
  • NPI 1235544115
  Medicare reassignment NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment NPD
• Oakdale Ess LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1750785119
  Medicare reassignment NPD
• Acadia-St. Landry Hospital Service District

  dba Acadia-St. Landry Hospital

  • Critical Access Hospital
  • Church Point, LA
  • NPI 1376540153
  Medicare reassignment
• St Martin Emergency Group LLC

  • Emergency Medicine Physician
  • Breaux Bridge, LA
  • NPI 1710231774
  Medicare reassignment
• Acadia-St. Landry Hospital Service District

  dba The Point Primary Care

  • Family Medicine Physician
  • Church Point, LA
  • NPI 1922841998
  NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD

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

• Acadia-St. Landry Hospital Service District

  dba Acadia-St. Landry Hospital

  • Critical Access Hospital
  • Church Point, LA
  • NPI 1376540153
  Care Compare affiliation
• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation
• Hospital Service District No1 Parish of Avoyelles State of Louisiana

  • Critical Access Hospital
  • Bunkie, LA
  • NPI 1710932470
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1952303240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-288-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-288-5961",
            "fax_number": "337-706-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTAM",
        "first_name": "CHAKSHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "15033R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160164",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "4F344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Austin Gates, APRN, FNP-C
• Mary S Gathe, LCSW
• Joan G Gatte, APRN
• Reynold Louis Gaubert Jr., DMD
• Pratima Gaulee, M.D
• Ariadne A Gauthier, MD
• Joan Gauthier
• Donna Marie Gauthreaux, O.D.
• Randy Thomas Gauthreaux, D.D.S.
• Scott Thomas Gauthreaux, M.D.

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.