GAUTAMI GANDHAM
NPI 1639631690
Emergency Medicine - Emergency Medical Services in Tulsa, OK

Q: What is Gautami Gandham's NPI number?

The NPI number for Gautami Gandham is 1639631690. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Gautami Gandham's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Gautami Gandham was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 01, 2019PECOS Enrolled

1145 S UTICA AVE, TULSA, OK 74104(918) 579-2367 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2022, Apr 24, 2019, Apr 8, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Gautami Gandham NPPES

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

GAUTAMI GANDHAM (NPI 1639631690) is an individual emergency medical services provider in Tulsa, Oklahoma, licensed in Texas (T3952) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639631690

Entity TypeIndividualFemale

Primary Taxonomy207PE0004X

Provider Legal NameGAUTAMI GANDHAM

Location Address1145 S UTICA AVETulsa, OK 74104-4000

Mailing Address1145 S Utica Ave Ste 600Tulsa, OK 74104-4070 · (918) 579-2367

Phone(918) 579-2367

Sole ProprietorNo

Enumeration DateApril 1, 2019

Last NPPES UpdateJune 24, 20224 updates tracked since enumeration

NPPES CertifiedJune 24, 2022

✔ NPI 1639631690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in TX · T3952

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1145 S UTICA AVE, Tulsa, OK 74104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gautami Gandham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Gautami Gandham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Creek Nation Hospital & Clinics

42 mi

Clinic/Center

2900 N MAIN ST
Muskogee, OK 74401

Reassigned Medicare billing, Texas enrollment
655 clinicians in this Medicare group

NPI 1922873611 (918) 346-7833

Questcare Medical Services PLLC

220 mi

Emergency Medicine

3901 W 15TH ST
Plano, TX 75075

Reassigned Medicare billing, Texas enrollment
454 clinicians in this Medicare group

NPI 1164574489 (469) 401-2386

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

224 services213 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

132 services129 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

50 services49 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

44 services44 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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.

DR. DAE Y KIM M.D., PH.D

Urology

1145 S UTICA AVE, SUITE 202
TULSA, OK 74104

Tulsa County (918) 579-3130

JARED QUALLS APRN

Nurse Practitioner (Acute Care)

1145 S UTICA AVE, SUITE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

DR. BRENT C MCANULTY M.D.

Hospitalist

1145 S UTICA AVE, STE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA

Urology

1145 S UTICA AVE, STE 202
TULSA, OK 74104

Tulsa County (918) 579-3130

SCOTT ROBISONS RX INC

Pharmacy (Community/Retail Pharmacy)

1145 S UTICA AVE, STE 18
TULSA, OK 74104

Tulsa County (918) 582-7144

MRS. ROSE MARIE MARTINO OTR/L

Occupational Therapist

1145 S UTICA AVE, SUITE 262
TULSA, OK 74104

Tulsa County (918) 579-3035

MELANIE K PHILLIPS MD

Emergency Medicine

1145 S UTICA AVE, TULSA
TULSA, OK 74104

Tulsa County (918) 579-2367

JANET ELIZABETH CHEEK DO

Hospitalist

1145 S UTICA AVE, STE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

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 Gautami Gandham's NPI number?

The NPI number for Gautami Gandham is 1639631690. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Gautami Gandham located?

Gautami Gandham practices at 1145 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 579-2367.

What is Gautami Gandham's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Gautami Gandham enrolled in Medicare?

Yes. Gautami Gandham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gautami Gandham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautami Gandham reassigns Medicare benefits to 2 organizations: Creek Nation Hospital & Clinics (Muskogee, OK) and Questcare Medical Services PLLC (Plano, TX). 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 Gautami Gandham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gautami Gandham accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Gautami Gandham 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 Gautami Gandham was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.