DR. AMITABH GAUTAM MD NPI 1750389565

NPI Information

  • NPI: 1750389565
  • Provider Name: DR. AMITABH GAUTAM, MD
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 ALBANY ST
    SHAPIRO 7TH FLOOR, SUITE 7A
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-8430

Map and Directions

Get Directions

NPI Details

DR. Amitabh Gautam, MD is a transplant surgery in Boston, MA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Amitabh Gautam, MD NPI is 1750389565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 ALBANY ST
SHAPIRO 7TH FLOOR, SUITE 7A
BOSTON, MA
ZIP 02118-526
Phone: (617) 638-8430
Fax: (617) 638-8427

The NPI 1750389565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 6/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery233660MASSACHUSETTSNo
2204F00000XTransplant Surgery233660MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17009550MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLANDRIH TRANSPLANT
2000345501MEDICARE PINMASSACHUSETTS
3110003575AMEDICAIDMASSACHUSETTS
49023429MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI