GAUTHAMI SOMA M.D.
NPI 1699188938
Pediatrics - Pediatric Emergency Medicine in Springfield, MA

Q: What is Gauthami Soma's NPI number?

The NPI number for Gauthami Soma is 1699188938. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Q: What is Gauthami Soma's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Gauthami Soma was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment

759 CHESTNUT ST # S6538, SPRINGFIELD, MA 01107(413) 794-3233(413) 794-9060 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Gauthami Soma M.d. NPPES

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

GAUTHAMI SOMA M.D. (NPI 1699188938) is an individual pediatric emergency medicine provider in Springfield, Massachusetts, licensed in Massachusetts (294527) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2014).

NPPES Registry Identity

NPI1699188938

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameGAUTHAMI SOMACredential: M.D.

Location Address759 CHESTNUT ST # S6538Springfield, MA 01107-1619

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700

Phone(413) 794-3233

Fax(413) 794-9060

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014

Enumeration DateJune 4, 2014

Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1699188938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MA · 294527

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 56510 (CT)

759 CHESTNUT ST # S6538, Springfield, MA 01107

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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 and accepts Medicare assignment

Gauthami Soma M.d. 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.

PECOS PAC ID9335410984

PECOS Enrollment IDI20170801001508

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.

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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.

MARISA ROBYN SIEGEL MD

Emergency Medicine