| Ravindra Moharpal Gautam, MD | |
|
930 W Main St, Barstow, CA 92311-2654 | |
| (760) 256-1004 | |
| (760) 256-1055 |
| Full Name | Ravindra Moharpal Gautam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 930 W Main St, Barstow, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891791703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A56418 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inland Valley Hospice Care | Apple valley, CA | Hospice |
| Inland Valley Hospice | Riverside, CA | Hospice |
| Barstow Community Hospital | Barstow, CA | Hospital |
| St Mary Medical Center | Apple valley, CA | Hospital |
| Rimrock Villa Convalescent Hospital | Barstow, CA | Nursing home |
| Veterans Home Of California - Barstow | Barstow, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choice Healthcare Associates, Inc. | 3678759206 | 12 |
| Ravindra Gautam Md Inc | 4082509229 | 3 |
| Hospitalist Medicine Physicians Of California Inc | 8426062027 | 92 |
| Entity Name | Veterans Home Of California Barstow |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205821758 PECOS PAC ID: 5294707642 Enrollment ID: O20040806001182 |
| Entity Name | Ravindra Gautam Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366490310 PECOS PAC ID: 4082509229 Enrollment ID: O20051029000320 |
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
| Entity Name | Choice Healthcare Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194964361 PECOS PAC ID: 3678759206 Enrollment ID: O20110517000271 |
| Entity Name | Inpatient Specialists Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
| Entity Name | Ravindra Gautam Md Inc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1366490310 PECOS PAC ID: 4082509229 Enrollment ID: O20250507000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravindra Moharpal Gautam, MD Po Box 35389, Belfast, ME 04915-0631 Ph: (760) 256-1004 | Ravindra Moharpal Gautam, MD 930 W Main St, Barstow, CA 92311-2654 Ph: (760) 256-1004 |
Dr. Dipak G Vora, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 E Virginia Way, Suite - I, Barstow, CA 92311 Phone: 760-256-1422 Fax: 760-256-6418 | |
Dr. Alberta Cataag Olegario, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 N Second Ave, Barstow, CA 92311 Phone: 760-256-3568 Fax: 760-256-7470 | |
Dr. Ghulam Rabani Zaheer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 E Williams St, Barstow, CA 92311 Phone: 760-256-0328 Fax: 760-256-5635 | |
Tak Keung Chow, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S. 7th Avenue, Suite A, Barstow, CA 92311 Phone: 760-252-2168 Fax: 760-252-2168 | |
Poopal Sivananda, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 716 E Main St, Barstow, CA 92311 Phone: 760-953-8059 | |
Dr. Mohan Mallam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 303 E Buena Vista St, Barstow, CA 92311 Phone: 760-256-4601 Fax: 760-256-0310 | |
Dr. Venkatappa M Padmanabha, M.D FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 E Main St, Barstow, CA 92311 Phone: 760-255-4700 Fax: 760-255-3840 |