DR. JAMES THEODORE GAENSBAUER MD
NPI 1861783920
Pediatrics - Pediatric Infectious Diseases in Rochester, MN
NPI Status: Active since April 25, 2011
Contact Information
200 FIRST STREET SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
- Individual
- Male
- Pediatrics
- Pediatric Infectious Diseases
- Accepts Insurance
- PECOS Enrolled
About JAMES GAENSBAUER
This page provides the complete NPI Profile along with additional information for James Gaensbauer, a pediatrician established in Rochester, Minnesota with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1861783920 assigned on April 2011. The practitioner's primary taxonomy code is 2080P0208X with license number 69997 (MN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1861783920
- Provider Name
- DR. JAMES THEODORE GAENSBAUER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 FIRST STREET SW ROCHESTER, MN 55905
- Location Phone
- (507) 284-2511
- Mailing Address
- 200 FIRST STREET SW ROCHESTER, MN 55905
- Mailing Phone
- (507) 284-2511
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2011
- Last Update Date
- 01-16-2024
- Code Navigator
A pediatrician like James Gaensbauer is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 13123 E 16th Ave The Children's Hospital
Aurora, CO 80045
(720) 777-1234
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
Pediatrics Pediatric Infectious Diseases
- Taxonomy Code
- 2080P0208X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 69997
- License State
- MN
- Taxonomy Description
- A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | DR.0050121 (CO) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 69997 (MN) |
| 3 | 2080P0208X | Allopathic & Osteopathic Physicians | Pediatrics | DR.0050121 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
James Gaensbauer 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 1861783920, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
ROCHESTER, MN 55905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861783920, enumerated as an "individual" on April 25, 2011.
The provider is located at 200 FIRST STREET SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.
Pediatrics with taxonomy code 2080P0208X and a focus in Pediatric Infectious Diseases.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
