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VIVEK GAUTAM
NPI 1245853555
Family Medicine in Allentown, PA

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
1101 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 261-1123 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Nov 27, 2021, May 21, 2020 (3 updates tracked since 2020).

About Vivek Gautam NPPES

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

VIVEK GAUTAM (NPI 1245853555) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD488085) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245853555
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVIVEK GAUTAM
Location Address1101 S CEDAR CREST BLVDAllentown, PA 18103-7902
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500
Phone(610) 261-1123
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 20, 2020
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1245853555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD488085
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1101 S CEDAR CREST BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Vivek Gautam 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 ID6406376292
PECOS Enrollment IDI20250224002788
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.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 12

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

WILLIAM R. BARNHURST D.O.
Family Medicine
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111
KRISTI M KARDOS CRNP
Nurse Practitioner (Family)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 240-4073
DAVID J. SHINGLES, D.O., P.C.
Clinic/Center (Health Service)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111
LEHIGH VALLEY PHYSICIAN GROUP
Family Medicine
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-3940
CEDAR CREST EMERGICENTER
Clinic/Center (Multi-Specialty)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111
CEDAR CREST PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111
CEDAR CREST EMERGICENTER CHIROPRACTIC CENTER
Clinic/Center (Primary Care)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111
LEHIGH VALLEY HOSPITAL
Radiology (Diagnostic Radiology)
1101 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 435-3111

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 Vivek Gautam's NPI number?

The NPI number for Vivek Gautam is 1245853555. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Vivek Gautam located?

Vivek Gautam practices at 1101 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 261-1123.

What is Vivek Gautam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vivek Gautam enrolled in Medicare?

Yes. Vivek Gautam 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 Vivek Gautam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Vivek Gautam 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 Vivek Gautam affiliated with any hospitals?

According to CMS data, Vivek Gautam is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Vivek Gautam was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.