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

Samir Gautam, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Baltimore, Maryland. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Johns Hopkins University, Medstar Medical Group Ii Llc 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any 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



Physician's Profile

Full NameSamir Gautam
GenderMale
SpecialityCritical Care (intensivists)
Experience19 Years
Location1830 E Monument St Ste 416, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any 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.
IdentifierTypeStateIssuer
1275766396NPI-NPPES
2434187MedicaidLA
04931327MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD20786 (Louisiana)Secondary
207RN0300XInternal Medicine - Nephrology D77622 (Maryland)Primary
207RN0300XInternal Medicine - Nephrology 23889 (Mississippi)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fresenius Kidney Care Caroline StreetBaltimore, MDDialysis facility
Fresenius Kidney Care Fleet StreetBaltimore, MDDialysis facility
Johns Hopkins Hospital, TheBaltimore, MDHospital
Johns Hopkins Bayview Medical CenterBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Hopkins University89219031472692
Medstar Medical Group Ii Llc05474138251776

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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 NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347

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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 AddressPractice 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

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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: Accepting 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    

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