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PRADIP GAUTAM MD
NPI 1932900230
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 22, 2025PECOS Enrolled
900 8TH AVE, FORT WORTH, TX 76104(817) 455-1143 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 22, 2025 (2 updates tracked since 2025).

About Pradip Gautam Md NPPES

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

PRADIP GAUTAM MD (NPI 1932900230) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932900230
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePRADIP GAUTAMCredential: MD
Location Address900 8TH AVEFort Worth, TX 76104-3902
Mailing Address900 8th AveFort Worth, TX 76104-3902 · (817) 455-1143
Phone(817) 455-1143
Sole ProprietorNo
Enumeration DateMarch 22, 2025
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1932900230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 8TH AVE, Fort Worth, TX 76104
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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)

Pradip 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.

RANDY NGUYEN DO
Internal Medicine
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 347-1140
JEREMY DEMITCHELL FNP-C
Nurse Practitioner (Family)
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-2100
ABIGAIL LEONARDO ABBAS DO
Student in an Organized Health Care Education/Training Program
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 347-1140
DAVID DANIEL TOLEDO BARRIOS DO
Student in an Organized Health Care Education/Training Program
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 347-1140
NGOZI LYNDA UMEZURIKE RN BSN
Nurse Practitioner (Adult Health)
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 834-8500
CAMILLA CANTUSIO MONTEIRO D.O.
Hospitalist
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 347-5887
HEMA PANDYA BOHRA D.O.
Internal Medicine
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5292
TANNER LEN CLIMER
Nurse Anesthetist, Certified Registered
900 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-2100

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 Pradip Gautam's NPI number?

The NPI number for Pradip Gautam is 1932900230. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Pradip Gautam located?

Pradip Gautam practices at 900 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 455-1143.

What is Pradip Gautam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pradip Gautam enrolled in Medicare?

Yes. Pradip Gautam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pradip Gautam was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.