Ravindra Gautam, M.D., Inc.
NPI 1366490310ActiveOrganization· Internal Medicine· Barstow, CA
Internal Medicine in Barstow, California, registered in NPPES in May 2006, part of Ravindra Gautam MD. The authorized official on file is Ravindra Moharpal Gautam, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - intensive cardiac rehabilitation.
Overview
| NPI | 1366490310 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ravindra Gautam MD |
| NPI issued | May 4, 2006 |
| Last updated in NPPES | Nov 27, 2024 |
| Certified by provider | Nov 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Registered Nurse, Cardiac Rehabilitation | 163WC3500X | — | — |
| Hospitalist | 208M00000X | — | — |
| Clinic/Center, Rehabilitation, Cardiac Facilities | 261QR0404X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Intensive Cardiac Rehabilitation (CA) |
|---|
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