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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. NINA GAUTAM MD, MPH
NPI 1679406318
Internal Medicine in Charleston, SC

Active since June 03, 2026PECOS Enrolled
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425(843) 792-0435 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Jun 3, 2026 (2 updates tracked since 2026).

About Dr. Nina Gautam Md, Mph NPPES

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

DR. NINA GAUTAM MD, MPH (NPI 1679406318) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL97088) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679406318
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NINA GAUTAMCredential: MD, MPH
Location Address169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone(843) 792-0435
Sole ProprietorNo
Enumeration DateJune 3, 2026
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1679406318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL97088
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License LL97088 (SC)
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333, Charleston, SC 29425
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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 (PECOS)

Dr. Nina Gautam Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SMITH
Internal Medicine
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-0435
APARNA MACHARLA MBBS
Internal Medicine
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-0435
DR. BROOKE VICTORIA HISRICH MD
Internal Medicine
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-0435
DR. SUSANNA MARY WINGER MD
Internal Medicine
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-0435

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 Nina Gautam's NPI number?

The NPI number for Nina Gautam is 1679406318. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Nina Gautam located?

Nina Gautam practices at 169 Ashley Ave Room 202 Main Hospital, Msc 333, Charleston, SC 29425. The listed phone number is (843) 792-0435.

What is Nina Gautam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nina Gautam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nina Gautam was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.