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RAVINDRA GAUTAM, M.D., INC.
NPI 1366490310
Internal Medicine in Barstow, CA

Active since May 04, 2006
930 W MAIN ST, BARSTOW, CA 92311(760) 256-1004(760) 256-1055 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Oct 2, 2024, May 29, 2020 and 1 more (4 updates tracked since 2020).

About Ravindra Gautam, M.d., Inc. NPPES

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

RAVINDRA GAUTAM, M.D., INC. (NPI 1366490310) is a healthcare organization registered as an internal medicine in Barstow, California and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Barstow and lists Ravindra Moharpal Gautam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366490310
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRAVINDRA GAUTAM, M.D., INC.
Location Address930 W MAIN STBarstow, CA 92311-2654
Mailing AddressPo Box 1519Barstow, CA 92312-1519 · (760) 256-1004 · Fax (760) 256-1055
Phone(760) 256-1004
Fax(760) 256-1055
Organization SubpartYesParent: Ravindra Gautam Md
Authorized OfficialRavindra Moharpal GautamCeo · (760) 256-1004
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 27, 20244 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1366490310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedClinic/Center · Rehabilitation, Cardiac FacilitiesTaxonomy 261QR0404X
930 W MAIN ST, Barstow, CA 92311
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Secondary Practice Location 1

Location 1121 S 7th Ave Ste ABarstow, CA 92311-3059 · Phone (760) 818-4228 · Fax (760) 818-4573

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravindra Gautam, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ravindra Gautam, M.D., Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ravindra Gautam, M.D.
Internal Medicine
NPI 1891791703
930 W MAIN ST
Barstow, CA 92311
(760) 256-1004
✔ PECOS✔ Accepts MedicareSame address
Talaat Maximous, MD
Orthopedic Surgery
NPI 1649274176
930 W MAIN ST
Barstow, CA 92311
(760) 256-1004
✔ PECOS✔ Accepts MedicareSame address
Mark Sutton, M.D.
Family Practice
NPI 1003841248
121 S 7TH AVE STE A
Barstow, CA 92311
(760) 818-4228
✔ PECOS✔ Accepts Medicare1.1 mi
Amir Hedayati-Rad, M.D.
Cardiac Electrophysiology
NPI 1861410029
706 W BROADWAY # 100
Glendale, CA 91204
(818) 507-6404
✔ PECOS✔ Accepts Medicare87 mi
Jeffrey Demian, DPM
Podiatry
NPI 1922477280
22633 ANZA AVE
Torrance, CA 90505
(760) 256-1004
✔ PECOS✔ Accepts Medicare106 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ravindra Gautam, M.D., Inc.'s NPI number?

The NPI number for Ravindra Gautam, M.D., Inc. is 1366490310. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Ravindra Gautam, M.D., Inc. located?

Ravindra Gautam, M.D., Inc. is located at 930 W Main St, Barstow, CA 92311. The listed phone number is (760) 256-1004.

What is Ravindra Gautam, M.D., Inc.'s specialty?

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

Is Ravindra Gautam, M.D., Inc. enrolled in Medicare?

Yes. Ravindra Gautam, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ravindra Gautam, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Ravindra Gautam, M.D., Inc., in Cardiac Electrophysiology, Family Practice, Internal Medicine, Orthopedic Surgery and Podiatry. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ravindra Gautam, M.D., Inc. was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.