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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GAUTAM DAGUR MD, PHD
NPI 1275335184
Internal Medicine in Evansville, IN

Active since March 24, 2025PECOS Enrolled
801 SAINT MARYS DR STE 510, EVANSVILLE, IN 47714(812) 485-5990 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Jun 18, 2025, Mar 24, 2025 (3 updates tracked since 2025).

About Gautam Dagur Md, Phd NPPES

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

GAUTAM DAGUR MD, PHD (NPI 1275335184) is an individual internal medicine provider in Evansville, Indiana, licensed in Indiana (11023975A) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275335184
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAUTAM DAGURCredential: MD, PHD
Location Address801 SAINT MARYS DR STE 510Evansville, IN 47714-0511
Mailing Address801 Saint Marys Dr Ste 300Evansville, IN 47714-0511
Phone(812) 485-5990
Sole ProprietorYes
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1275335184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 11023975A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 SAINT MARYS DR STE 510, Evansville, IN 47714
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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 (PECOS)

Gautam Dagur Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

ROMARIC BANTUMBAKULU MUKUNA MD
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 510
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4422
DR. JOSHUA TYLER JOSEPH GONZALES DO
Internal Medicine
801 SAINT MARYS DR STE 510
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4422
WARDAH TAUQIR RANA MB BCH BAO
Internal Medicine
801 SAINT MARYS DR STE 510
EVANSVILLE, IN 47714
Vanderburgh County (408) 642-0888
DR. ZARAQ AHMAD KHAN MBCHB
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 510
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4422
DR. MUHAMMAD ISMAIL MD
Student in an Organized Health Care Education/Training Program
801 SAINT MARYS DR STE 510
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-4000

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 Dagur's NPI number?

The NPI number for Gautam Dagur is 1275335184. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Gautam Dagur located?

Gautam Dagur practices at 801 Saint Marys Dr Ste 510, Evansville, IN 47714. The listed phone number is (812) 485-5990.

What is Gautam Dagur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gautam Dagur enrolled in Medicare?

Yes. Gautam Dagur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gautam Dagur was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.