JAMES P GUTHEIL MD
NPI 1497790414
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Lafayette, LA
NPI Status: Active since June 17, 2006
Contact Information
4704 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA
ZIP 70508
Phone: (225) 765-5500
Fax: (225) 765-5543
- Individual
- Male
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About JAMES GUTHEIL
This page provides the complete NPI Profile along with additional information for James Gutheil, a provider established in Lafayette, Louisiana with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1497790414 assigned on June 2006. The practitioner's primary taxonomy code is 207XP3100X with license number 343126 (LA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1497790414
- Provider Name
- JAMES P GUTHEIL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4704 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508
- Location Phone
- (225) 765-5500
- Location Fax
- (225) 765-5543
- Mailing Address
- 5959 S SHERWOOD FOREST BLVD BATON ROUGE, LA 70816
- Mailing Phone
- (225) 765-5500
- Mailing Fax
- (225) 765-5543
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 12-30-2024
- Code Navigator
Location Map
Secondary Locations
- 4102 24th St SUITE 301
Lubbock, TX 79410
(806) 725-7980 - 1890 W Gauthier Rd Ste 115
Lake Charles, LA 70605
(337) 470-5920
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 343126
- License State
- LA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | MD219632 (OR) |
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | L6924 (TX) |
| 3 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 04-41342 (KS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
- Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR) - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M) - POS
- Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69435278 | MEDICAID (05) | NM | |
| 160449807 | MEDICAID (05) | TX | |
| 150507103 | OTHER (01) | TX | FIRSTCARE |
| 8BS953 | OTHER (01) | TX | BCBS |
Medicare Participation & PECOS Enrollment Status
James Gutheil is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497790414, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497790414, enumerated as an "individual" on June 17, 2006.
The provider is located at 4704 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 and the phone number is (225) 765-5500.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.
