GONZALO AUSQUI
NPI 1891148524
Surgery - Surgical Critical Care in Hammond, LA

NPI Status: Active since July 18, 2016

Contact Information

15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA
ZIP 70403
Phone: (985) 230-1870
Fax: (985) 230-7461

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  • Individual
  • Male
  • Years of Experience 11
  • Surgery
  • Surgical Critical Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About GONZALO AUSQUI

This page provides the complete NPI Profile along with additional information for Gonzalo Ausqui, a provider established in Hammond, Louisiana with a medical specialization in Surgery, focusing in surgical critical care and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1891148524 assigned on July 2016. The practitioner's primary taxonomy code is 2086S0102X with license number 343343 (LA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1891148524
Provider Name
GONZALO AUSQUI
Gender
Male
Entity Type
Individual
Location Address
15770 PAUL VEGA MD DR STE 108A HAMMOND, LA 70403
Location Phone
(985) 230-1870
Location Fax
(985) 230-7461
Mailing Address
PO BOX 2668 HAMMOND, LA 70404
Mailing Phone
(985) 230-1682
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
07-18-2016
Last Update Date
10-11-2024
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Location Map

Secondary Locations

  • 2040 Lehigh St apt # 415
    Easton, PA 18042
    (702) 272-6211

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

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
License No.
343343
License State
LA
Taxonomy Description
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Gonzalo Ausqui is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Gonzalo Ausqui 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

  • PECOS PAC ID: 4385937218

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241009000744

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gonzalo Ausqui is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTH OAKS MEDICAL CENTER15790 PAUL VEGA MD DRIVE
HAMMOND, LA 70403
(985) 345-2700Acute Care Hospitals

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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 1891148524, 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 2 + 4 + 1 + 6 + 5 + 4 + 24 = 66

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.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1891148524.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Surgery (Trauma Surgery)
15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA 70403
Surgery (Surgical Critical Care)
15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA 70403
Physician Assistant
15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA 70403
Surgery (Trauma Surgery)
15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA 70403
Nurse Practitioner (Adult Health)
15770 PAUL VEGA MD DR STE 108A
HAMMOND, LA 70403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891148524, enumerated as an "individual" on July 18, 2016.

The provider is located at 15770 PAUL VEGA MD DR STE 108A HAMMOND, LA 70403 and the phone number is (985) 230-1870.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.

Gonzalo Ausqui is affiliated with: NORTH OAKS MEDICAL CENTER.