DR. GAUTAM KUMAR MBBS, MRCP(UK)
NPI 1437375391
Internal Medicine - Interventional Cardiology in Atlanta, GA
About Dr. Gautam Kumar Mbbs, Mrcp(uk) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GAUTAM KUMAR MBBS, MRCP(UK) (NPI 1437375391) is an individual interventional cardiology provider in Atlanta, Georgia, licensed in Georgia (64129) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gautam Kumar Mbbs, Mrcp(uk) is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Gautam Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAGrady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kumar's NPI number?
The NPI number for Gautam Kumar is 1437375391. It was assigned to this individual provider in the NPPES registry on April 18, 2007.
Where is Gautam Kumar located?
Gautam Kumar practices at 550 Peachtree Nest, Atlanta, GA 30308. The listed phone number is (404) 686-4411.
What is Gautam Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Gautam Kumar enrolled in Medicare?
Yes. Gautam Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gautam Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Kumar reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each 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 Gautam Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gautam Kumar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Gautam Kumar 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.
Is Gautam Kumar affiliated with any hospitals?
According to CMS data, Gautam Kumar is affiliated with Emory University Hospital Midtown and Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Gautam Kumar 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 3 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.
# Dr. Gautam Kumar, MBBS, MRCP(UK) · NPI 1437375391
Interventional Cardiology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1437375391 (Entity type: Individual)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 64129 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 PEACHTREE NEST, Atlanta, GA 30308
- **Phone:** (404) 686-4411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437375391) · Data from the CMS NPPES public registry.