ANTONIUS GUNAWAN MD
NPI 1477203479
Anesthesiology in Lafayette, LA

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
1016B COOLIDGE BLVD, LAFAYETTE, LA 70503(337) 289-7991 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Antonius Gunawan Md NPPES

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

ANTONIUS GUNAWAN MD (NPI 1477203479) is an individual anesthesiology provider in Lafayette, Louisiana, licensed in Louisiana (350982) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Wake Forest University School Of Medicine (2022).

NPPES Registry Identity

NPI1477203479
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameANTONIUS GUNAWANCredential: MD
Location Address1016B COOLIDGE BLVDLafayette, LA 70503-2436
Mailing Address1016b Coolidge BlvdLafayette, LA 70503-2436 · (337) 289-7991
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1477203479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in LA · 350982
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1016B COOLIDGE BLVD, Lafayette, LA 70503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonius Gunawan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537626502
PECOS Enrollment IDI20260810002059
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.

Medicare Billing Reassignment

Medicare enrollment records show Antonius Gunawan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1016B COOLIDGE BLVD
Lafayette, LA 70503
  • Reassigned Medicare billing, Louisiana enrollment
  • 428 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1016B COOLIDGE BLVD
LAFAYETTE, LA 70503
Internal Medicine
1016B COOLIDGE BLVD
LAFAYETTE, LA 70503

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 Antonius Gunawan's NPI number?

The NPI number for Antonius Gunawan is 1477203479. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Antonius Gunawan located?

Antonius Gunawan practices at 1016B Coolidge Blvd, Lafayette, LA 70503. The listed phone number is (337) 289-7991.

What is Antonius Gunawan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Antonius Gunawan enrolled in Medicare?

Yes. Antonius Gunawan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonius Gunawan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonius Gunawan reassigns Medicare benefits to Lafayette Health Ventures Inc. (Lafayette, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonius Gunawan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Antonius Gunawan affiliated with any hospitals?

According to CMS data, Antonius Gunawan is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Antonius Gunawan was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.