Polly King Gauthier, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

J6452 Issued in TX

Practice address

2525 W. Bellfort Ave.
Suite 120
Houston, TX 77054-5024

Phone

(713) 741-6677

Fax

(713) 748-5860

NPI assigned

Apr 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Houston, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangini Lakhia and Associates PAGroup PAC ID 5799740338, 9 clinicians

Brown and Associates Medical Laboratories LLPGroup PAC ID 3072508316, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brown & Associates Medical Laboratories, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1912981747
  Medicare reassignment Care Compare group NPD
• Mangini, Lakhia and Associates, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1649239328
  Medicare reassignment Care Compare group NPD
• Houston Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, TX
  • NPI 1952385676
  Medicare reassignment NPD
• Alliance Pathology Consultants PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingwood, TX
  • NPI 1699707943
  NPD
• Brown & Associates Medical Laboratories LLP

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1588649016

  Anatomic Pathology & Clinical Pathology

  NPD
• Clear Lake Pathology Partners LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1881757458
  NPD
• J S Wilkenfeld MD & Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1871630509
  NPD

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

• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1982665402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421849",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421849",
            "telephone_number": "713-741-6677",
            "fax_number": "713-748-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W. BELLFORT AVE.",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545024",
            "telephone_number": "713-741-6677",
            "fax_number": "713-748-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "POLLY",
        "middle_name": "KING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupesh Gautam, MD
• Veena Sathyakumar Gautam, MD
• Kanekal Suresh Gautham, MBBS, MD, DM, MS
• Anna M Gauthier, RPH.
• Jerry W Gauthier, MD
• Kyra Marie Gautier, AA
• Elizabeth A.L. Gautreaux
• J Depaul Gautreaux
• Shawn Gautreaux
• Alain R Gaviola

• 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 Aug 29, 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.