GAUTAM PAUL MD
NPI 1629334099
Hospitalist in Florence, KY
About Gautam Paul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUTAM PAUL MD (NPI 1629334099) is an individual hospitalist provider in Florence, Kentucky, licensed in Kentucky (48312) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 3
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Other Identifiers 4
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
Gautam Paul 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.
Areas of Expertise CMS Part B claims 8
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41042 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FLORENCE, KY 41042
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 Paul's NPI number?
The NPI number for Gautam Paul is 1629334099. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Gautam Paul located?
Gautam Paul practices at 4900 Houston Rd, Florence, KY 41042. The listed phone number is (859) 301-8074.
What is Gautam Paul's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Gautam Paul enrolled in Medicare?
Yes. Gautam Paul 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 Gautam Paul accept?
Health plans from CareSource list Gautam Paul 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 Paul affiliated with any hospitals?
According to CMS data, Gautam Paul is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.
When was this NPI record last updated?
The NPPES record for Gautam Paul was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
