PRATIMA GAULEE M.D
NPI 1487005823
Pediatrics - Neonatal-Perinatal Medicine in Lafayette, LA
NPI Status: Active since June 27, 2016
Contact Information
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA
ZIP 70508
Phone: (337) 470-5634
Fax: (337) 470-5082
- Individual
- Female
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About PRATIMA GAULEE
This page provides the complete NPI Profile along with additional information for Pratima Gaulee, a pediatrician established in Lafayette, Louisiana with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1487005823 assigned on June 2016. The practitioner's primary taxonomy code is 2080N0001X with license number 332702 (LA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1487005823
- Provider Name
- PRATIMA GAULEE M.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508
- Location Phone
- (337) 470-5634
- Location Fax
- (337) 470-5082
- Mailing Address
- 5959 S SHERWOOD FOREST BLVD BATON ROUGE, LA 70816
- Mailing Phone
- (337) 470-5634
- Mailing Fax
- (337) 470-5082
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-27-2016
- Last Update Date
- 08-09-2024
- Code Navigator
A pediatrician like Pratima Gaulee 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
- 4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
(347) 613-8129
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 Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 332702
- License State
- LA
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | ME140870 (FL) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Community Blue 80/60 $3200 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Pratima Gaulee 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
Reviews for PRATIMA GAULEE M.D
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 0 | 0 | 5 | 8 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 0 | 0 | 10 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 0 + 0 + 1 + 0 + 8 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1487005823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285635508 | JOAN GRODE MARSHAK M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9113 |
| 1154314904 | JUAN M FUKUDA M.D. Individual | Specialist | 4600 AMBASSADOR CAFFERY PKWY PEDIATRIC EMERGENCY MEDICINE LAFAYETTE, LA 70508 (337) 521-9027 |
| 1518954874 | DR. STEPHANIE B. HANSON MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 261-5151 |
| 1588651848 | WOMEN'S AND CHILDREN'S PATHOLOGY SERVICES Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 261-5151 |
| 1336102680 | CLAUDE MARTIN BEGNAUD JR. APRN, NNP-C Individual | Nurse Practitioner (Neonatal) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1598706053 | DR. GERALD ALAN ROSS M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1770512832 | SCOTT HAMILTON M.D. Individual | Pediatrics | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1700997087 | SHARRON RENE FOREST NNP Individual | Nurse Practitioner (Neonatal) | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1184726622 | REX HUBBARD M.D. Individual | Obstetrics & Gynecology | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9239 |
| 1427154574 | DEBORAH MYERS M.D. Individual | Pediatrics | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1831212000 | ROBERT PAUL MOON M.D. Individual | Hospitalist | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9239 |
| 1023231941 | LAFAYETTE OB HOSPITALISTS LLC Organization | Obstetrics & Gynecology | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (377) 521-9239 |
| 1114194420 | TOYE GASPARD MD Individual | Pediatrics | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1285932350 | MRS. EMILY GAUTHIER WALTERS PA-C Individual | Physician Assistant | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9127 |
| 1003837022 | NEVA DUCOTE SEAGO MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 4600 AMBASSADOR CAFFERY PKWY WOMEN'S AND CHILDREN'S HOSPITAL LAFAYETTE, LA 70508 (337) 521-9100 |
| 1144556622 | MS. NIKKI CLARY LEGLUE PA-C Individual | Physician Assistant | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1083017271 | BANEE MADISON P.A Individual | Physician Assistant | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 561-9100 |
| 1053368753 | THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC Organization | General Acute Care Hospital | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1336173590 | THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC Organization | General Acute Care Hospital | 4600 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 (337) 521-9100 |
| 1245541341 | HARSHIT DOSHI M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 4600 AMBASSADOR CAFFERY PKWY NICU LAFAYETTE, LA 70508 (718) 470-3440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487005823, enumerated in the NPI registry as an "individual" on June 27, 2016
The provider is located at 4600 Ambassador Caffery Pkwy Lafayette, La 70508 and the phone number is (337) 470-5634
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
This NPI record was last updated on June 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.