1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Transplant Surgery
  6. NPI Profile

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: September 20, 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
Phone(617) 638-8430
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
Open in Google Maps ↗

Other Identifiers 4

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

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. 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.

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.

TYLER BRECK MARTIN NP
Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Suffolk County (617) 414-4886
JEFFREY MARK DRAZEN M.D.
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-7480
DR. NOOR ANMOL KAUR CHADHA MD, MS
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 414-2000
DR. KAREN FREUND M.D.
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Suffolk County (617) 638-7428
DR. VIKEN L BABIKIAN M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. JOHN J CROKE MD
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Suffolk County (617) 638-7420
DEBORAH ANN MCNEIL NP
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. ALEXANDRA R. PIPILAS M.D.
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7490

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.

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.