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DR. KANEKAL SURESH GAUTHAM MBBS, MD, DM, MS
NPI 1972611911
Pediatrics - Neonatal-Perinatal Medicine in Houston, TX

Active since August 29, 2006PECOS Enrolled
6410 FANNIN ST STE 470, HOUSTON, TX 77030(713) 500-5736 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Sep 28, 2021, Dec 28, 2020 (3 updates tracked since 2020).

About Dr. Kanekal Suresh Gautham Mbbs, Md, Dm, Ms NPPES

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

DR. KANEKAL SURESH GAUTHAM MBBS, MD, DM, MS (NPI 1972611911) is an individual neonatal-perinatal medicine provider in Houston, Texas, licensed in Texas (Q2855) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972611911
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KANEKAL SURESH GAUTHAMCredential: MBBS, MD, DM, MS
Location Address6410 FANNIN ST STE 470Houston, TX 77030-3008
Mailing Address6410 Fannin St Ste 470Houston, TX 77030-3008 · (713) 500-5736 · Fax (713) 500-0653
Phone(713) 500-5736
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1972611911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in TX · Q2855✔ Licensed in SC · TL26586✔ Licensed in FL · ME150626
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
6410 FANNIN ST STE 470, Houston, TX 77030
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Other Identifiers 2

MedicaidQ09841SC
Medicaid110863200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanekal Suresh Gautham Mbbs, Md, Dm, Ms 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 12

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

KAILEY JUST MS, RD
Dietitian, Registered
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7196
UT PHYSICIANS
Pediatrics
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7196
ANTHONY FARFAN LCSW
Social Worker (Clinical)
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (713) 486-6955
ALEXA GAUSMAN SLP
Speech-Language Pathologist
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7196
MISS DONNETT BELL PNP
Nurse Practitioner (Pediatrics)
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7178
MARIA CLAUDIA CALDAS-VASQUEZ M.D.
Pediatrics
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7196
JOSE EUGENIO COLON CORTES MD
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (713) 500-5657
STEPHANIE MARIE PADILLA LOPEZ MD
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST STE 470
HOUSTON, TX 77030
Harris County (832) 325-7196

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 Kanekal Gautham's NPI number?

The NPI number for Kanekal Gautham is 1972611911. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kanekal Gautham located?

Kanekal Gautham practices at 6410 Fannin St Ste 470, Houston, TX 77030. The listed phone number is (713) 500-5736.

What is Kanekal Gautham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kanekal Gautham enrolled in Medicare?

Yes. Kanekal Gautham is registered in the Medicare PECOS enrollment system.

What insurance does Kanekal Gautham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kanekal Gautham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanekal Gautham was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.