NISHANT GAUTAM
NPI 1295416741
Family Medicine in Longview, WA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nishant Gautam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nishant Gautam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Longview, WA 98632
- Reassigned Medicare billing, Washington enrollment
- 308 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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Nishant Gautam located?
Nishant Gautam practices at 1718 E Kessler Blvd, Longview, WA 98632. The listed phone number is (360) 747-5800.
What is Nishant Gautam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nishant Gautam enrolled in Medicare?
Yes. Nishant Gautam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nishant Gautam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Gautam reassigns Medicare benefits to Peacehealth (Longview, WA). 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 Nishant Gautam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishant Gautam accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nishant 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.
When was this NPI record last updated?
The NPPES record for Nishant Gautam was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nishant Gautam · NPI 1295416741
Family Medicine physician in Longview, Washington. Individual provider, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1295416741 (Entity type: Individual)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD70045885 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1718 E KESSLER BLVD, Longview, WA 98632-1842
- **Phone:** (360) 747-5800 · **Fax:** (360) 575-3846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peacehealth (NPI 1720056187, Longview, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295416741) · Data from the CMS NPPES public registry.