SAMIR GAUTAM M.D., PH.D.
NPI 1730568429
Student in an Organized Health Care Education/Training Program in West Haven, CT
About Samir Gautam M.d., Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMIR GAUTAM M.D., PH.D. (NPI 1730568429) is an individual student in an organized health care education/training program in West Haven, Connecticut and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samir Gautam M.d., Ph.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.
Medicare Billing Reassignment
Medicare enrollment records show Samir Gautam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HAVEN, CT 06516
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 Samir Gautam's NPI number?
The NPI number for Samir Gautam is 1730568429. It was assigned to this individual provider in the NPPES registry on May 27, 2015.
Where is Samir Gautam located?
Samir Gautam practices at 950 Campbell Ave # 11acsl1 VA Connecticut Healthcare System, West Haven, CT 06516. The listed phone number is (203) 688-8300.
What is Samir 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 Samir Gautam enrolled in Medicare?
Yes. Samir Gautam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samir Gautam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samir Gautam reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samir Gautam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samir Gautam accept?
Health plans from Anthem Blue Cross and Blue Shield list Samir Gautam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samir Gautam was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Samir Gautam, M.D., PH.D. · NPI 1730568429
Student in an Organized Health Care Education/Training Program provider in West Haven, Connecticut. Individual provider, active in the CMS NPPES registry since May 27, 2015.
## Identity
- **NPI:** 1730568429 (Entity type: Individual)
- **Enumerated:** May 27, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 950 CAMPBELL AVE # 11ACSL1, VA CONNECTICUT HEALTHCARE SYSTEM, West Haven, CT 06516-2770
- **Phone:** (203) 688-8300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Yale University (NPI 1124148887, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** May 27, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1730568429) · Data from the CMS NPPES public registry.