Indira Gautam (NPI# 1043283005, PAC ID# 5597655365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043283005 |
| PAC ID by PECOS | 5597655365 |
| Professional Enrollment ID | I20110210000148 |
| Full Name | Indira Gautam |
| Address |
327 Iberia St Suite 3a Youngsville LA 70592-6370 |
| Gender | F |
| Credential | MD |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190054 | IBERIA MEDICAL CENTER |
| 191302 | ST MARTIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 327 Iberia St, Suite 3a, Youngsville, LA 70592-6370 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
327 IBERIA ST SUITE 3A |
| City | YOUNGSVILLE |
| State | LA |
| Zip | 70592-6370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Boudreaux | Physical Therapy | Mts-lgh Therapy Services LLC | 327 Iberia St, Youngsville, LA 70592-6370 |
| Fatima Qureshi | Optometry | Dr. Robert Jackson Young IIi | 327 Iberia St, Youngsville, LA 70592-6370 |
| Robert Young | Ophthalmology | Dr. Robert Jackson Young IIi | 327 Iberia St, Youngsville, LA 70592-6370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco J Silva | Family Medicine | 6011 Ambassador Caffery Pkwy, Youngsville, LA 70592-5170 | |
| Winston P Riehl | Family Practice | Ahs Walk In Clinic | 6011 Ambassador Caffery Pkwy, Youngsville, LA 70592-5170 |
| Leslie A Guilbeaux | Nurse Practitioner | Myers Dermatology LLC | 5701 Ambassador Caffery Pkwy, Youngsville, LA 70592-5181 |
| Jennifer M Myers | Dermatology | Myers Dermatology LLC | 5701 Ambassador Caffery Pkwy, Youngsville, LA 70592-5181 |
| Edward C Lafleur | Family Medicine | 2445 E Milton Ave, Youngsville, LA 70592-5346 | |
| Erin W Lovett | Clinical Social Worker | 2445 E Milton Ave, Youngsville, LA 70592-5346 | |
| Maria E Romero | Chiropractic | 500 Lafayette St, Youngsville, LA 70592-5409 | |
| Meighan G Anderson | Family Medicine | Lafayette Health Ventures Inc | 2810 Bonin Rd, Youngsville, LA 70592-5600 |
| Pernell Simon | Family Medicine | Lafayette Health Ventures Inc | 2810 Bonin Rd, Youngsville, LA 70592-5600 |
| Maria Mendoza | Occupational Therapy | Laborde Therapy Center LLC | 120 Waterview Rd, Youngsville, LA 70592-5890 |
| Find all physicians in zip 70592 | |||
| City | YOUNGSVILLE |
| Zip Code | 70592 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | YOUNGSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Indira Gautam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.