Prachi Gautam
NPI 1740687755ActiveIndividual· Pediatrics, Pediatric Nephrology· Bronx, NY
Pediatrics, Pediatric Nephrology in Bronx, New York, licensed in NY, with an NPI issued in November 2014. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1740687755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 20, 2014 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Jun 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Nephrology Primary | 2080P0210X | 291597 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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