DR. GAUTAM AGGARWAL MD
NPI 1700185667
Family Medicine in Phoenix, AZ

Active since March 17, 2011PECOS Enrolled
4131 N 24TH ST, STE. B-102, PHOENIX, AZ 85016(602) 955-6632(602) 381-1341 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gautam Aggarwal Md NPPES

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

DR. GAUTAM AGGARWAL MD (NPI 1700185667) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (48026) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700185667
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GAUTAM AGGARWALCredential: MD
Location Address4131 N 24TH ST, STE. B-102Phoenix, AZ 85016-6262
Mailing Address4041 N Central Ave, Bldg CPhoenix, AZ 85012-3313 · (602) 279-5262 · Fax (602) 279-5390
Fax(602) 381-1341
Sole ProprietorNo
Enumeration DateMarch 17, 2011
Last NPPES UpdateMay 29, 2018
NPI 1700185667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 48026
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4131 N 24TH ST, Phoenix, AZ 85016

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. Gautam Aggarwal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 8

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

Family Medicine
4131 N 24TH ST, B-102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, B-102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, #B102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, SUITE B-102
PHOENIX, AZ 85016
Psychologist
4131 N 24TH ST, STE. B102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, ST. B102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, B-102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST, SUITE B-102
PHOENIX, AZ 85016

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 Gautam Aggarwal's NPI number?

The NPI number for Gautam Aggarwal is 1700185667. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Where is Gautam Aggarwal located?

Gautam Aggarwal practices at 4131 N 24th St Ste. B-102, Phoenix, AZ 85016. The listed phone number is (602) 955-6632.

What is Gautam Aggarwal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gautam Aggarwal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gautam Aggarwal was last updated on May 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.