NISHANT GAUTAM
NPI 1295416741
Family Medicine in Longview, WA

Q: What is Nishant Gautam's NPI number?

The NPI number for Nishant Gautam is 1295416741. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Nishant Gautam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nishant Gautam was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2023PECOS Enrolled

1718 E KESSLER BLVD, LONGVIEW, WA 98632(360) 747-5800(360) 575-3846 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Jul 27, 2023 (2 updates tracked since 2023).

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About Nishant Gautam NPPES

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

NISHANT GAUTAM (NPI 1295416741) is an individual family medicine provider in Longview, Washington, licensed in Washington (MD70045885) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295416741

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNISHANT GAUTAM

Location Address1718 E KESSLER BLVDLongview, WA 98632-1842

Mailing Address4864 Jackson StMonroe, LA 71202-6400

Phone(360) 747-5800

Fax(360) 575-3846

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 27, 2023

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1295416741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD70045885

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.

1718 E KESSLER BLVD, Longview, WA 98632

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Secondary Practice Location 1

Location 14864 Jackson StMonroe, LA 71202-6400 · Phone (318) 330-7600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID840760039

PECOS Enrollment IDI20260528004251

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 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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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