GAUTAM DUTTA
NPI 1245352970
Hospitalist in Cookeville, TN

Q: What is Gautam Dutta's NPI number?

The NPI number for Gautam Dutta is 1245352970. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Gautam Dutta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gautam Dutta was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL CENTER BLVD, SUITE 103, COOKEVILLE, TN 38501(931) 783-2770(931) 525-1176 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gautam Dutta NPPES

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

GAUTAM DUTTA (NPI 1245352970) is an individual hospitalist provider in Cookeville, Tennessee, licensed in Tennessee (MD45220) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1245352970

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameGAUTAM DUTTA

Location Address1 MEDICAL CENTER BLVD, SUITE 103Cookeville, TN 38501-4294

Mailing Address127 N Oak Ave, Suite DCookeville, TN 38501-2435 · (931) 783-5857 · Fax (931) 526-6760

Phone(931) 783-2770

Fax(931) 525-1176

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 4, 2007

Last NPPES UpdateDecember 29, 2021

NPPES CertifiedDecember 29, 2021

✔ NPI 1245352970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TN · MD45220

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.

1 MEDICAL CENTER BLVD, Cookeville, TN 38501

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Other Identifiers 1

Medicaid1516195TN

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

Gautam Dutta 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 ID6103965413

PECOS Enrollment IDI20140925000987

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.

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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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.

DR. DANNY J STRANGE MD

Anesthesiology