Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICKY K GAUTAM D.O.
NPI 1518067602
Psychiatry & Neurology - Psychiatry in Desoto, TX

Q: What is Micky Gautam's NPI number?

The NPI number for Micky Gautam is 1518067602. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Micky Gautam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Micky Gautam was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

800 KIRNWOOD DR, DESOTO, TX 75115(214) 223-9235 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Jul 11, 2025 (2 updates tracked since 2025).

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About Dr. Micky K Gautam D.o. NPPES

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

DR. MICKY K GAUTAM D.O. (NPI 1518067602) is an individual psychiatry provider in Desoto, Texas, licensed in Texas (L1861) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1997).

NPPES Registry Identity

NPI1518067602

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MICKY K GAUTAMCredential: D.O.

Location Address800 KIRNWOOD DRDesoto, TX 75115-2000

Mailing AddressPo Box 561136The Colony, TX 75056-6136 · (214) 223-9235 · Fax (817) 730-9080

Phone(214) 223-9235

Sole ProprietorYes

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1997

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1518067602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · L1861

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

800 KIRNWOOD DR, Desoto, TX 75115

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Secondary Practice Locations 3

Location 12026 W University DrDenton, TX 76201-0644 · Phone (214) 223-9235 · Fax (817) 730-9080

Location 27808 Clodus Fields DrDallas, TX 75251-2206 · Phone (214) 223-9235 · Fax (817) 730-9080

Location 35680 Frisco Square BlvdFrisco, TX 75034-3300 · Phone (214) 223-9235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Micky K Gautam D.o. 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 ID5496842643

PECOS Enrollment IDI20071109000237

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services23 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75115 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

Other Providers at the Same Location NPPES 7

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

PSYCH RESOLUTIONS

Psychiatry & Neurology (Psychiatry)