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SAMIR GAUTAM M.D., PH.D.
NPI 1730568429
Student in an Organized Health Care Education/Training Program in West Haven, CT

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
950 CAMPBELL AVE # 11ACSL1, VA CONNECTICUT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516(203) 688-8300 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1730568429
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMIR GAUTAMCredential: M.D., PH.D.
Location Address950 CAMPBELL AVE # 11ACSL1, VA CONNECTICUT HEALTHCARE SYSTEMWest Haven, CT 06516-2770
Mailing Address20 York St, Yale-new Haven HospitalNew Haven, CT 06510-3220
Phone(203) 688-8300
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2015
Enumeration DateMay 27, 2015
✔ NPI 1730568429 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.
950 CAMPBELL AVE # 11ACSL1, West Haven, CT 06516
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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

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.

PECOS PAC ID7416269550
PECOS Enrollment IDI20200421002629
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
86 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services29 patients

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES

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

MARIAH BARIL-DORE APRN
Nurse Practitioner (Primary Care)
950 CAMPBELL AVE # 11ACSL1
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711

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.

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.