NAUTAM B GANATRA MD
NPI 1154515625
Hospitalist in Houston, TX

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
11800 ASTORIA BLVD, HOUSTON, TX 77089(281) 929-6180 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Mar 7, 2023, Apr 16, 2019 (3 updates tracked since 2019).

About Nautam B Ganatra Md NPPES

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

NAUTAM B GANATRA MD (NPI 1154515625) is an individual hospitalist provider in Houston, Texas, licensed in Texas (R4223) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154515625
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNAUTAM B GANATRACredential: MD
Location Address11800 ASTORIA BLVDHouston, TX 77089-6041
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (504) 412-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 28, 2007
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1154515625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · R4223
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.205715 (LA), R4223 (TX)
11800 ASTORIA BLVD, Houston, TX 77089

Secondary Practice Locations 2

Location 17600 Beechnut St Fl 8Houston, TX 77074-4302 · Phone (713) 456-5686
Location 217500 W Grand Pkwy SSugar Land, TX 77479-2562 · Phone (281) 725-5026

Other Identifiers 4

OtherCDS.042366-MDLA · La Board Of Pharmacy
OtherMD.205715LA · Lsbme
Medicaid03426331MS
Medicaid2342746LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nautam B Ganatra Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749450922
PECOS Enrollment IDI20171211002314
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
143 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
54 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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 20

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

Nurse Anesthetist, Certified Registered
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Pharmacist
11800 ASTORIA BLVD
HOUSTON, TX 77089

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 Nautam Ganatra's NPI number?

The NPI number for Nautam Ganatra is 1154515625. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Nautam Ganatra located?

Nautam Ganatra practices at 11800 Astoria Blvd, Houston, TX 77089. The listed phone number is (281) 929-6180.

What is Nautam Ganatra's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nautam Ganatra enrolled in Medicare?

Yes. Nautam Ganatra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nautam Ganatra accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, HMO Louisiana and Oscar Insurance Company list Nautam Ganatra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nautam Ganatra affiliated with any hospitals?

According to CMS data, Nautam Ganatra is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Nautam Ganatra was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.