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JAMES P GUTHEIL MD
NPI 1497790414
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Lafayette, LA

Active since June 17, 2006PECOS Enrolled
4704 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508(225) 765-5500(225) 765-5543 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2024, Jul 29, 2024, May 13, 2024 and 2 more (5 updates tracked since 2018).

About James P Gutheil Md NPPES

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

JAMES P GUTHEIL MD (NPI 1497790414) is an individual pediatric orthopaedic surgery provider in Lafayette, Louisiana, licensed in Louisiana (343126) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497790414
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameJAMES P GUTHEILCredential: MD
Location Address4704 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6908
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5500 · Fax (225) 765-9196
Phone(225) 765-5500
Fax(225) 765-5543
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 30, 20245 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1497790414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in LA · 343126
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD219632 (OR), L6924 (TX), 04-41342 (KS)
4704 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508
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Secondary Practice Locations 2

Location 14102 24th St, SUITE 301Lubbock, TX 79410-1806 · Phone (806) 725-7980 · Fax (806) 723-7985
Location 21890 W Gauthier Rd Ste 115Lake Charles, LA 70605-7180 · Phone (337) 470-5920 · Fax (855) 431-6868

Other Identifiers 4

Medicaid69435278NM
Medicaid160449807TX
Other150507103TX · Firstcare
Other8BS953TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James P Gutheil 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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Gutheil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lourdes Physician Group LLC
0.5 mi
Family Medicine
4801 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
  • 304 clinicians in this Medicare group
NPI 1437405883 (337) 470-2000
Our Lady Of The Lake Physician Group LLC
58 mi
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
1805 COLLEGE DR
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 873 clinicians in this Medicare group
NPI 1235912502 (225) 923-3420
Legacy Clinics LLC
1,943 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206

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

Other Providers at the Same Location NPPES 12

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

DEIADRA GARRETT MD
Surgery (Pediatric Surgery)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920
AMY ARCENEAUX VITTE NP
Nurse Practitioner (Pediatrics)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 521-9250
MRS. LESLIE GAUTHIER FONTENOT RD,LDN,CDE, MS
Dietitian, Registered
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 371-3101
DR. KENNETH W FALTERMAN MD
Surgery (Pediatric Surgery)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920
JANNA KIRSTEN FLINT WILSON MD
Pediatrics (Pediatric Endocrinology)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920
ANN MARIE FLANNERY MD
Neurological Surgery
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920
DR. KENNETH RICHMOND HABETZ M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920
RYAN PATRICK FARMER MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5920

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 James Gutheil's NPI number?

The NPI number for James Gutheil is 1497790414. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is James Gutheil located?

James Gutheil practices at 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508. The listed phone number is (225) 765-5500.

What is James Gutheil's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is James Gutheil enrolled in Medicare?

Yes. James Gutheil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Gutheil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gutheil reassigns Medicare benefits to 3 organizations: Lourdes Physician Group LLC (Lafayette, LA), Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA) and Legacy Clinics LLC (Sandy, OR). Each 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 James Gutheil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gutheil accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Gutheil 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 James Gutheil was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.