Individual provider

Marc Gauthier, M.D.

Internal Medicine Physician Critical Care Medicine (Internal Medicine) Physician Pulmonary Disease Physician Medicare enrolled

Marc Gauthier, M.D. is a Pulmonary Disease Physician in Pittsburgh, PA, registered under NPI 1649407628. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3459 5TH AVE, Pittsburgh, PA 15213. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3459 5TH AVE, Pittsburgh, PA 15213 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD445493 PA Internal Medicine Physician
MD445493 PA Critical Care Medicine (Internal…
MD445493 PA Pulmonary Disease Physician primary

This provider holds licence MD445493 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
6608025804
Enrollment ID
I20121003000664

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pulmonary Disease covers

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician MD445493 PA
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine MD445493 PA
207RP1001X Pulmonary Disease Physician Pulmonary Disease MD445493 PA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1649407628 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 17, 2009
Last updatedJan 31, 2023
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 3459 5TH AVE
Pittsburgh, PA 15213
(412) 692-2210
Mailing address 2 HOT METAL ST QUANTUM ONE, SUITE 001
Pittsburgh, PA 15203
Other identifiers 102759465 · Medicaid (PA)
The last update on file is Jan 31, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1649407628 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 4 9 4 0 7 6 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 8 9 8 0 5 6 4

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1649407628?
NPI 1649407628 is the National Provider Identifier assigned to Marc Gauthier, M.D. in Pittsburgh, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pulmonary Disease cover?
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
How do I contact Marc Gauthier, M.D.?
The phone number on file with NPPES is (412) 692-2210, last updated Jan 31, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Marc Gauthier, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1649407628 a valid number?
Yes. 1649407628 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.