SABINA GAUTAM
NPI 1639855067
Student in an Organized Health Care Education/Training Program in Las Cruces, NM

Active since June 22, 2023PECOS Enrolled
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011(575) 521-5385 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sabina Gautam NPPES

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

SABINA GAUTAM (NPI 1639855067) is an individual student in an organized health care education/training program in Las Cruces, New Mexico, licensed in New Mexico (RS2023-1178) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639855067
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSABINA GAUTAM
Location Address2450 S TELSHOR BLVDLas Cruces, NM 88011-5069
Mailing Address2450 S Telshor BlvdLas Cruces, NM 88011-5069 · (575) 521-5385
Sole ProprietorNo
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
NPI 1639855067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NM · RS2023-1178
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2450 S TELSHOR BLVD, Las Cruces, NM 88011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sabina Gautam 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.

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.

Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Preventive Medicine (Undersea and Hyperbaric Medicine)
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Emergency Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011

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 Sabina Gautam's NPI number?

The NPI number for Sabina Gautam is 1639855067. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Sabina Gautam located?

Sabina Gautam practices at 2450 S Telshor Blvd, Las Cruces, NM 88011. The listed phone number is (575) 521-5385.

What is Sabina Gautam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sabina Gautam enrolled in Medicare?

Yes. Sabina Gautam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sabina Gautam was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.