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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GAUTAM KUMAR MBBS, MRCP(UK)
NPI 1437375391
Internal Medicine - Interventional Cardiology in Atlanta, GA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
550 PEACHTREE NEST, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2026, Sep 11, 2025, Jul 27, 2023 and 2 more (5 updates tracked since 2018).

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

NPI1437375391
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. GAUTAM KUMARCredential: MBBS, MRCP(UK)
Location Address550 PEACHTREE NESTAtlanta, GA 30308
Mailing Address550 Peachtree NestAtlanta, GA 30308-2247 · (404) 686-2247
Phone(404) 686-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1437375391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in GA · 64129
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 64129 (GA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 64129 (GA)
550 PEACHTREE NEST, Atlanta, GA 30308
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5395830913
PECOS Enrollment IDI20110914000631
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

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
12 services11 patients

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, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

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 50 days 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.