SAMIR GAUTAM MD
NPI 1275766396
Internal Medicine - Nephrology in Baltimore, MD

Q: What is Samir Gautam's NPI number?

The NPI number for Samir Gautam is 1275766396. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Q: What is Samir Gautam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Samir Gautam was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 24, 2009PECOS Enrolled

1830 E MONUMENT ST STE 416, BALTIMORE, MD 21287(410) 955-5268(410) 367-2258 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Jan 9, 2019, Jun 2, 2017 (3 updates tracked since 2017).

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About Samir Gautam Md NPPES

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

SAMIR GAUTAM MD (NPI 1275766396) is an individual nephrology provider in Baltimore, Maryland, licensed in Maryland (D77622) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Natchez.

NPPES Registry Identity

NPI1275766396

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSAMIR GAUTAMCredential: MD

Location Address1830 E MONUMENT ST STE 416Baltimore, MD 21287-0020

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423

Phone(410) 955-5268

Fax(410) 367-2258

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 24, 2009

Last NPPES UpdateMay 25, 20213 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1275766396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in MD · D77622✔ Licensed in LA · MD20786✔ Licensed in MS · 23889

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1830 E MONUMENT ST STE 416, Baltimore, MD 21287

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Secondary Practice Location 1

Location 1150 Jefferson Davis Blvd Ste 100Natchez, MS 39120-5120 · Phone (601) 273-3554 · Fax (601) 653-9589

Other Identifiers 2

Medicaid2434187LA

Medicaid04931327MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3971730607

PECOS Enrollment IDI20190909002593

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 9

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.

298 services161 patients

Dialysis procedure requiring repeat evaluation 90947

Dialysis is a treatment that filters waste and excess water from your blood, mimicking the function of healthy kidneys. Repeat evaluations are necessary to monitor your body's response to the treatment, ensuring it's working effectively and adjusting as needed for optimal health.

181 services54 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.

156 services102 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.

145 services97 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

124 services79 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.

71 services61 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 13

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

SAI PRASAD DESIKAN MD

Internal Medicine (Nephrology)