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DR. GAUTAM KISHORE VALECHA MBBS
NPI 1235579632
Internal Medicine - Hematology & Oncology in Albuquerque, NM

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110(505) 559-6100(505) 559-6101 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gautam Kishore Valecha Mbbs NPPES

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

DR. GAUTAM KISHORE VALECHA MBBS (NPI 1235579632) is an individual hematology & oncology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2020-0359) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1235579632
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GAUTAM KISHORE VALECHACredential: MBBS
Location Address8300 CONSTITUTION AVE NEAlbuquerque, NM 87110-7613
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Phone(505) 559-6100
Fax(505) 559-6101
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 28, 2013
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1235579632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NM · MD2020-0359
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8300 CONSTITUTION AVE NE, Albuquerque, NM 87110
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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

Dr. Gautam Kishore Valecha Mbbs 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 ID1759627326
PECOS Enrollment IDI20230829000128
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 7

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 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.
84 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services17 patients
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.
18 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

ANNE JONES MD
Family Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 272-2700
MRS. MEGHAN LYNNE WHEELER DPT
Physical Therapist
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2372
SANDESH DEWAN MD
Internal Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2000
MRS. KAREN SPIELBUSCH CFNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100
JOSEPH J SIEBENTHAL CNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2200
AMBER R FRANCIA LCSW
Social Worker (Clinical)
8300 CONSTITUTION AVE NE, CLINICAL LIAISONS
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2134
NEIL I KAMINSKY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6400
DR. MARIA KATHERINE SAMARAS PH.D.
Psychologist (Clinical Child & Adolescent)
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100

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 Gautam Valecha's NPI number?

The NPI number for Gautam Valecha is 1235579632. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Gautam Valecha located?

Gautam Valecha practices at 8300 Constitution Ave NE, Albuquerque, NM 87110. The listed phone number is (505) 559-6100.

What is Gautam Valecha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gautam Valecha enrolled in Medicare?

Yes. Gautam Valecha 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.

Is Gautam Valecha affiliated with any hospitals?

According to CMS data, Gautam Valecha is affiliated with Mt Sinai Hospital Medical Center, Holy Cross Hospital and Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Gautam Valecha was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.