GAUTAM PHOOKAN MD
NPI 1093750978
Neurological Surgery in Muncie, IN

Active since June 17, 2006PECOS Enrolled
2525 W UNIVERSITY AVE STE 503, MUNCIE, IN 47303(765) 288-0441(765) 282-7879 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2022, Feb 10, 2021 (2 updates tracked since 2021).

About Gautam Phookan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUTAM PHOOKAN MD (NPI 1093750978) is an individual neurological surgery provider in Muncie, Indiana, licensed in Indiana (01050143A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093750978
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameGAUTAM PHOOKANCredential: MD
Location Address2525 W UNIVERSITY AVE STE 503Muncie, IN 47303-3409
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(765) 282-7879
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
NPI 1093750978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in IN · 01050143A Licensed in IN · 1050143
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2525 W UNIVERSITY AVE STE 503, Muncie, IN 47303

Other Identifiers 3

Other061570015IN · Medicare
OtherM22404245IN · Medicare
Medicaid200206470AIN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gautam Phookan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gautam Phookan's NPI number?

The NPI number for Gautam Phookan is 1093750978. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Gautam Phookan located?

Gautam Phookan practices at 2525 W University Ave Ste 503, Muncie, IN 47303. The listed phone number is (765) 288-0441.

What is Gautam Phookan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gautam Phookan enrolled in Medicare?

Yes. Gautam Phookan is registered in the Medicare PECOS enrollment system.

What insurance does Gautam Phookan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gautam Phookan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gautam Phookan was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.