ARCHANA GAUTAM MD
NPI 1770013260
Internal Medicine - Nephrology in Kansas City, MO

Q: What is Archana Gautam's NPI number?

The NPI number for Archana Gautam is 1770013260. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Archana Gautam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Archana Gautam was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 15, 2017PECOS Enrolled

4801 E LINWOOD BLVD, KANSAS CITY, MO 64128(816) 861-4700 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Jun 15, 2017 (2 updates tracked since 2017).

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About Archana Gautam Md NPPES

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

ARCHANA GAUTAM MD (NPI 1770013260) is an individual nephrology provider in Kansas City, Missouri, licensed in Missouri (04-48214) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770013260

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameARCHANA GAUTAMCredential: MD

Location Address4801 E LINWOOD BLVDKansas City, MO 64128-2226

Mailing Address4801 E Linwood BlvdKansas City, MO 64128-2226 · (816) 861-4700

Phone(816) 861-4700

Sole ProprietorNo

Enumeration DateJune 15, 2017

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1770013260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MO · 04-48214

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 04-48214 (MO)

4801 E LINWOOD BLVD, Kansas City, MO 64128

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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 (PECOS)

Archana 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64128 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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 20

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

RICHARD ANTHONY ANTUNES JR. PHARMD

Pharmacist