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NISCHAL KRISHNAMURTHY GAUTAM M.D. NPI 1275696973


NPI Information

NPI: 1275696973
Provider Name: NISCHAL KRISHNAMURTHY GAUTAM, M.D.
Classification: Anesthesiology - 207LP3000X
Entity Type: Individual

Specialization: Pediatric Anesthesiology

PECOS Registration: Yes

Address:
1 CHILDREN'S WAY
DEPARTMENT OF ANESTHESIOLOGY , SLOT 203
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-3933
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Nischal Krishnamurthy Gautam, M.D. is a pediatric anesthesiology anesthesiology in Little Rock, AR. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. Nischal Krishnamurthy Gautam, M.D. NPI is 1275696973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CHILDREN'S WAY
DEPARTMENT OF ANESTHESIOLOGY , SLOT 203
LITTLE ROCK, AR
ZIP 72202
Phone: (501) 364-3933
Fax: (501) 364-5869

The NPI 1275696973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 9/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP3000XAnesthesiologyPediatric AnesthesiologyE-4917ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1163818001MEDICAIDARKANSAS
25N776MEDICARE PINARKANSAS
3P00402663OTHERRAILROAD MEDICARE
4I70747MEDICARE UPINARKANSAS
55AC70MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.