RAVINDRA MOHARPAL GAUTAM M.D.
NPI 1891791703
Internal Medicine in Barstow, CA

Active since June 24, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 2 labs
39.51/100
CMS Quality Rating
930 W MAIN ST, BARSTOW, CA 92311(760) 256-1004(760) 256-1055 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Nov 2, 2023, Feb 16, 2023 and 1 more (4 updates tracked since 2020).

About Ravindra Moharpal Gautam M.d. NPPES

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

RAVINDRA MOHARPAL GAUTAM M.D. (NPI 1891791703) is an individual internal medicine provider in Barstow, California, licensed in California (A56418) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1891791703
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAVINDRA MOHARPAL GAUTAMCredential: M.D.
Location Address930 W MAIN STBarstow, CA 92311-2654
Mailing AddressPo Box 35389Belfast, ME 04915-0631 · (760) 256-1004 · Fax (760) 256-1055
Fax(760) 256-1055
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 24, 2005
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1891791703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A56418
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.
930 W MAIN ST, Barstow, CA 92311

Secondary Practice Locations 3

Location 114214 Main StHesperia, CA 92345-8091 · Phone (760) 256-1004 · Fax (760) 256-1055
Location 227170 Lakeview DrHelendale, CA 92342-7811 · Phone (760) 256-1004 · Fax (760) 256-1055
Location 3121 S 7th Ave Ste ABarstow, CA 92311-3059 · Phone (760) 818-4228

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

Ravindra Moharpal Gautam M.d. 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 ID2163317314
PECOS Enrollment IDI20040903001144
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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2291222

Ravinda Gautam, MD, Inc · Hesperia, CA
Active · expires Oct 5, 2027
CLIA Number05D2291222
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorRavindra Gautam
Laboratory Phone(760) 983-1377
Laboratory LocationRavinda Gautam, MD, Inc14214 Main Street, Hesperia, CA 92345
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2029272

Ravindra M Gautam MD Inc · Helendale, CA
Active · expires Sep 1, 2027
CLIA Number05D2029272
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorRavindra M. Gautam MD
Laboratory Phone(760) 243-9944
Laboratory LocationRavindra M Gautam MD Inc27170 Lakeview Dr, Helendale, CA 92342
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 49

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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
1,457 services77 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
846 services88 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
643 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
565 services195 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
480 services62 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
343 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92311 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

39.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost80.83

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims54 services$6.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims19 services$1.21 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers78 claims3,842 services$0.10 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
2 suppliers33 claims946 services$29.73 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers64 claims2,491 services$7.04 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier33 claims1,117 services$15.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Cardiovascular Disease)
930 W MAIN ST
BARSTOW, CA 92311
Clinic/Center (Medical Specialty)
930 W MAIN ST
BARSTOW, CA 92311
Internal Medicine
930 W MAIN ST
BARSTOW, CA 92311
Nurse Practitioner
930 W MAIN ST
BARSTOW, CA 92311
Orthopaedic Surgery
930 W MAIN ST
BARSTOW, CA 92311
Case Manager/Care Coordinator
930 W MAIN ST
BARSTOW, CA 92311
Psychiatry & Neurology (Neurology)
930 W MAIN ST
BARSTOW, CA 92311
Psychiatry & Neurology (Neurology)
930 W MAIN ST
BARSTOW, CA 92311

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 Ravindra Gautam's NPI number?

The NPI number for Ravindra Gautam is 1891791703. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Ravindra Gautam located?

Ravindra Gautam practices at 930 W Main St, Barstow, CA 92311. The listed phone number is (760) 256-1004.

What is Ravindra Gautam's specialty?

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

Is Ravindra Gautam enrolled in Medicare?

Yes. Ravindra 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.

Does Ravindra Gautam hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ravindra Gautam was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.