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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NITESH GAUTAM MD
NPI 1114533619
Internal Medicine - Cardiovascular Disease in Florence, KY

Active since September 20, 2020PECOS Enrolled
7388 TURFWAY RD, FLORENCE, KY 41042(859) 287-3045(859) 525-8806 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Sep 20, 2020 (2 updates tracked since 2020).

About Nitesh Gautam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NITESH GAUTAM MD (NPI 1114533619) is an individual cardiovascular disease provider in Florence, Kentucky, licensed in Kentucky (61765) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114533619
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNITESH GAUTAMCredential: MD
Location Address7388 TURFWAY RDFlorence, KY 41042-1381
Mailing Address3400 S Bowman Rd Apt 2007Little Rock, AR 72211-4647 · (501) 703-3540
Phone(859) 287-3045
Fax(859) 525-8806
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 20, 2020
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1114533619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in KY · 61765
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7388 TURFWAY RD, Florence, KY 41042
Open in Google Maps ↗

Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 703-3540

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nitesh Gautam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779055447
PECOS Enrollment IDI20260612003580
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST LUKE HOSPITALS, INC
Internal Medicine (Pulmonary Disease)
7388 TURFWAY RD, STE. 206
FLORENCE, KY 41042
Boone County (859) 212-4893
PATRICIA MILES M.D.
Internal Medicine (Sleep Medicine)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 301-9140
DR. ROBERT JERON STRICKMEYER M.D.
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
PIOTR ZIEBA MD
Psychiatry & Neurology (Psychiatry)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 301-5901
DR. JEFFREY DAWSON REICHARD M.D.
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
ALLIANCE PRIMARY CARE
Family Medicine
7388 TURFWAY RD, SUITE 101
FLORENCE, KY 41042
Boone County (859) 212-4500
SWAPNIL GARG MD
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
HEATHER J CORN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 655-8910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nitesh Gautam's NPI number?

The NPI number for Nitesh Gautam is 1114533619. It was assigned to this individual provider in the NPPES registry on September 20, 2020.

Where is Nitesh Gautam located?

Nitesh Gautam practices at 7388 Turfway Rd, Florence, KY 41042. The listed phone number is (859) 287-3045.

What is Nitesh Gautam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nitesh Gautam enrolled in Medicare?

Yes. Nitesh Gautam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nitesh Gautam was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.