1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. SWOTANTRA GAUTAM MD
NPI 1689301004
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since August 05, 2022PECOS Enrolled
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(615) 269-4545 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Aug 5, 2022 (2 updates tracked since 2022).

About Dr. Swotantra Gautam Md NPPES

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

DR. SWOTANTRA GAUTAM MD (NPI 1689301004) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689301004
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SWOTANTRA GAUTAMCredential: MD
Location Address920 MADISON AVENUE SUITE 447Memphis, TN 38163-4603
Mailing Address4220 Harding Pike DeptNashville, TN 37205-2005 · (407) 371-8246
Phone(615) 269-4545
Sole ProprietorNo
Enumeration DateAugust 5, 2022
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1689301004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
920 MADISON AVENUE SUITE 447, Memphis, TN 38163
Open in Google Maps ↗

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. Swotantra Gautam Md 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.

DR. ALEXIS NOEL HARRIS MS, MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-7635
KIMBERLY INGELMO MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-4795
DR. ALI SALEH MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 284-3387
KAREN SOPHIA PARK MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
PREEYALAK JUJU MILLER
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 287-6756
DR. KEYTAHNIE A'LESSIONDRA JONES DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 284-3291
EMILY MARIE ESTES MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 522-7700
DR. FULTON ALAN ROBINSON MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 222-4075

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 Swotantra Gautam's NPI number?

The NPI number for Swotantra Gautam is 1689301004. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Swotantra Gautam located?

Swotantra Gautam practices at 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (615) 269-4545.

What is Swotantra 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 Swotantra Gautam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Swotantra Gautam was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.