DR. AMITABH GAUTAM MD
NPI 1750389565
Transplant Surgery in Boston, MA

Active since July 14, 2005PECOS Enrolled
725 ALBANY ST, SHAPIRO 7TH FLOOR, SUITE 7A, BOSTON, MA 02118(617) 638-8430(617) 638-8427 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amitabh Gautam Md NPPES

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

DR. AMITABH GAUTAM MD (NPI 1750389565) is an individual transplant surgery provider in Boston, Massachusetts, licensed in Massachusetts (233660) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750389565
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. AMITABH GAUTAMCredential: MD
Location Address725 ALBANY ST, SHAPIRO 7TH FLOOR, SUITE 7ABoston, MA 02118-2526
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 638-8427
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateJune 13, 2014
✔ NPI 1750389565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in MA · 233660
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 233660 (MA)
725 ALBANY ST, Boston, MA 02118

Other Identifiers 4

Medicare ID-Type Unspecified7009550RI · Rih Transplant
Medicare PIN000345501MA
Medicaid110003575AMA
Medicaid9023429RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amitabh 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amitabh Gautam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Massachusetts enrollment
  • 203 clinicians in this Medicare group
Surgery
5455 S CENTINELA AVE
Los Angeles, CA 90066
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 7 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.

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.

Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118

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 Amitabh Gautam's NPI number?

The NPI number for Amitabh Gautam is 1750389565. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Amitabh Gautam located?

Amitabh Gautam practices at 725 Albany St Shapiro 7th Floor, Suite 7A, Boston, MA 02118. The listed phone number is (617) 638-8430.

What is Amitabh Gautam's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Amitabh Gautam enrolled in Medicare?

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

Which organizations bill Medicare for Amitabh Gautam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amitabh Gautam reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Signify Health Medical Associates, PLLC (Dallas, TX) and Skilled Facility Health Care Solutions Inc (Los Angeles, CA). Each 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 Amitabh Gautam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amitabh Gautam was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.