Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gautam Phookan, MD

Neurological Surgery Physician in Muncie, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093750978

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Gautam Phookan

Credential MD

Sex Male

Practice address 2525 W University Ave Ste 503, Muncie, IN, 47303

Phone (765) 288-0441

Fax (765) 282-7879

Enumeration date Jun 17, 2006

Last updated in NPPES Dec 16, 2022

Taxonomy & licenses

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 1050143 (IN) Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 01050143A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
061570015	Other	IN	MEDICARE
M22404245	Other	IN	MEDICARE
200206470A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Gautam Phookan?

The National Provider Identifier (NPI) for Gautam Phookan is 1093750978, a Type 1 (individual) record in the CMS NPPES registry.

Where does Gautam Phookan practice?

The practice location on file with NPPES is in Muncie, IN. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-16.