DR. MICKY K GAUTAM (D.O.) – Psychiatry Physician, NPI 1518067602

DR. MICKY K GAUTAM (D.O.) is a healthcare provider. based in Greenville, Texas. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. L1861 (TX). The NPI Number for DR. MICKY K GAUTAM (D.O.) is 1518067602

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICKY K GAUTAM (D.O.)
NPI
1518067602
Phone
(903) 453-3376
Address
301 DIVISION ST
Enumeration Date
25 September 2006
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9729919504
Graduation Year
1997 (29 years ago)
PAC ID
5496842643
Professional Enrollment ID
I20071109000237
Address ID
TX752512206DA7808XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

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Provider Addresses for DR. MICKY K GAUTAM (D.O.)

  • 301, Division Street, Greenville, Hunt County, Texas, 75402, United States

    GREENVILLE, TX 754014101

    Phone: (903) 453-3376

    Fax: (903) 454-1149

    Type: Location

  • Division Street, Greenville, Hunt County, Texas, 75401, United States

    GREENVILLE, TX 75402

    Phone: (903) 453-3376

    Fax: (903) 454-1149

    Type: Mailing

  • 2026 W University Dr

    Denton, TX 762010644

    Phone: (214) 223-9235

    Fax: (817) 730-9080

    Type: Location

  • 7808 CLODUS FIELDS DR

    DALLAS, TX 752512206

    Phone: (214) 223-9235

    Fax: (817) 730-9080

    Type: Location

  • PO BOX 561136

    THE COLONY, TX 750566136

    Phone: (214) 223-9235

    Fax: (817) 730-9080

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071109000237IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2413$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 75401)

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Reviews

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Frequently asked questions

Does DR. MICKY K GAUTAM (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICKY K GAUTAM (D.O.) uses 1518067602.
Is DR. MICKY K GAUTAM (D.O.) still practicing?
DR. MICKY K GAUTAM (D.O.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. MICKY K GAUTAM (D.O.)?
For research purposes, treat DR. MICKY K GAUTAM (D.O.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MICKY K GAUTAM (D.O.) based?
DR. MICKY K GAUTAM (D.O.) is tied to Greenville, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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