Samir Gautam, MD in Baltimore, MD - Medicare Critical Care (intensivists)

Samir Gautam, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Baltimore, Maryland. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Medstar Medical Group Ii Llc, Johns Hopkins University and his current practice location is 1830 E Monument St Ste 416, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-5268.

Samir Gautam is licensed to practice in Maryland (license number D77622) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1275766396.

Contact Information

	Samir Gautam, MD
	1830 E Monument St Ste 416, Baltimore, MD 21287-0020
	(410) 955-5268
	(410) 367-2258

Map and Direction

Physician's Profile

Full Name	Samir Gautam
Gender	Male
Speciality	Critical Care (intensivists)
Experience	20 Years
Location	1830 E Monument St Ste 416, Baltimore, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samir Gautam graduated from medical school in 2005

NPI Data:

NPI Number: 1275766396
Provider Enumeration Date: 08/24/2009
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 3971730607
Enrollment ID: I20190909002593

Medical Identifiers

Medical identifiers for Samir Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275766396	NPI	-	NPPES
2434187	Medicaid	LA
04931327	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD20786 (Louisiana)	Secondary
207RN0300X	Internal Medicine - Nephrology	D77622 (Maryland)	Primary
207RN0300X	Internal Medicine - Nephrology	23889 (Mississippi)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fresenius Kidney Care Caroline Street	Baltimore, MD	Dialysis facility
Johns Hopkins Hospital, The	Baltimore, MD	Hospital
Johns Hopkins Bayview Medical Center	Baltimore, MD	Hospital
Medstar Franklin Square Medical Center	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	2998
Johns Hopkins University	8921903147	2699

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samir Gautam allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samir Gautam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samir Gautam, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Samir Gautam, MD 1830 E Monument St Ste 416, Baltimore, MD 21287-0020 Ph: (410) 955-5268

Reviews and Comments

Internal Medicine Doctors in Baltimore, MD

Dr. Leonard Anang Sowah, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-706-4619 Fax: 410-706-2062
Dr. Bhavandeep Singh Bajaj, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229 Phone: 410-644-4444 Fax: 410-644-4484
Dr. Yonas Sisay, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202 Phone: 410-385-9672
Dr. Stephen John Witanowski, MD Nephrology Medicare: Medicare Enrolled Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209 Phone: 410-469-5544 Fax: 410-585-2867
Dr. Susrutha Kotwal, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224 Phone: 410-550-5018
Dr. Mitesh G Trambadia, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204 Phone: 443-849-3786
Ronak K Patel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2000

Samir Gautam, MD - Medicare Critical Care (intensivists) in Baltimore, MD