HIND M. GAUTAM MD – NPI #1316950504
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

HIND GAUTAM is a physician located in DE PERE, WI. NPPES has assigned the NPI number 1316950504 to HIND GAUTAM on August 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name HIND A MIRZA. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 2 years ago on Jan 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HIND GAUTAM below.

NPI Profile for
HIND M. GAUTAM

NPI Number
1316950504
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
HIND M. GAUTAM
Former Name: HIND A MIRZA
Credentials
MD
Primary location
1881 CHICAGO ST
DE PERE, WI 54115-3770
Phone: (920) 403-8000 Fax:
Mailing address
PO BOX 735044
CHICAGO, IL 60673-5044
Phone: (800) 326-2250 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HIND GAUTAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI34748200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
WI 49944

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1881 CHICAGO ST,
DE PERE, WI 77025-1669

Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1881 CHICAGO ST,
DE PERE, WI 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
HIND GAUTAM is affiliated with the following medical group(s):
  • HOSPITAL
    • AURORA BAYCARE MEDICAL CTR
      2845 GREENBRIER RD
      GREEN BAY, WI 54311

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.