SONAM GAUTAM
NPI 1891431003
Internal Medicine in Scranton, PA

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment
501 S. WASHINGTON AVE., SCRANTON, PA 18505(570) 866-3058 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2025, Oct 17, 2022, May 10, 2022 (3 updates tracked since 2022).

About Sonam Gautam NPPES

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

SONAM GAUTAM (NPI 1891431003) is an individual internal medicine provider in Scranton, Pennsylvania, licensed in North Carolina (2025-00079) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891431003
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONAM GAUTAM
Location Address501 S. WASHINGTON AVE.Scranton, PA 18505
Mailing Address2000 Neuse BlvdNew Bern, NC 28560-3449 · (252) 633-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2022
Last NPPES UpdateJune 29, 20253 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
NPI 1891431003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2025-00079
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

501 S. WASHINGTON AVE., Scranton, PA 18505

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

Sonam Gautam 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 ID840667374
PECOS Enrollment IDI20250918001841
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18505 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505
Student in an Organized Health Care Education/Training Program
501 S. WASHINGTON AVE.
SCRANTON, PA 18505

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 Sonam Gautam's NPI number?

The NPI number for Sonam Gautam is 1891431003. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Sonam Gautam located?

Sonam Gautam practices at 501 S. Washington Ave., Scranton, PA 18505. The listed phone number is (570) 866-3058.

What is Sonam Gautam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonam Gautam enrolled in Medicare?

Yes. Sonam 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.

Is Sonam Gautam affiliated with any hospitals?

According to CMS data, Sonam Gautam is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Sonam Gautam was last updated on June 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.