RENU GAUTAM MD
NPI 1558744417
Family Medicine in Jacksonville, FL
About Renu Gautam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENU GAUTAM MD (NPI 1558744417) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME133283) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Renu Gautam Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Renu Gautam's NPI number?
The NPI number for Renu Gautam is 1558744417. It was assigned to this individual provider in the NPPES registry on July 9, 2015.
Where is Renu Gautam located?
Renu Gautam practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Renu Gautam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Renu Gautam enrolled in Medicare?
Yes. Renu Gautam 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.
What insurance does Renu Gautam accept?
Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Renu 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 Renu Gautam was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Renu Gautam, MD · NPI 1558744417
Family Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 9, 2015.
## Identity
- **NPI:** 1558744417 (Entity type: Individual)
- **Enumerated:** July 9, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME133283 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558744417) · Data from the CMS NPPES public registry.