VIVEK GAUTAM
NPI 1245853555
Family Medicine in Allentown, PA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Vivek Gautam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAPhysician 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.
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.
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
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.
Which organization bills Medicare for Vivek Gautam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Gautam reassigns Medicare benefits to Lehigh Valley Physician Group (Allentown, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivek Gautam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Vivek Gautam · NPI 1245853555
Family Medicine physician in Allentown, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 20, 2020.
## Identity
- **NPI:** 1245853555 (Entity type: Individual)
- **Enumerated:** May 20, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD488085 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 S CEDAR CREST BLVD, Allentown, PA 18103-7902
- **Phone:** (610) 261-1123
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lehigh Valley Physician Group (NPI 1306173034, Allentown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245853555) · Data from the CMS NPPES public registry.