MONIKA GAUTAM MBBS
NPI 1871104083
Hospitalist in New Haven, CT

Active since August 11, 2020PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, NEW HAVEN, CT 06510(202) 923-6696 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 19, 2023, Aug 11, 2020 (2 updates tracked since 2020).

About Monika Gautam Mbbs NPPES

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

MONIKA GAUTAM MBBS (NPI 1871104083) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (74137) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871104083
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMONIKA GAUTAMCredential: MBBS
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (202) 923-6696
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 11, 2020
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1871104083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CT · 74137
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
20 YORK ST, New Haven, CT 06510

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

Monika Gautam Mbbs 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 ID3476911058
PECOS Enrollment IDI20230614003323
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
132 services53 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.
67 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

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 Monika Gautam's NPI number?

The NPI number for Monika Gautam is 1871104083. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Monika Gautam located?

Monika Gautam practices at 20 York St, New Haven, CT 06510. The listed phone number is (202) 923-6696.

What is Monika Gautam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Monika Gautam enrolled in Medicare?

Yes. Monika 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 Monika Gautam was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.