DR. GAUTAM VANGIPURAM M.D NPI 1780052233

NPI Information

  • NPI: 1780052233
  • Provider Name: DR. GAUTAM VANGIPURAM, M.D
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2619 E COLORADO BLVD STE 150
    PASADENA, CA
    ZIP 91107
  • Phone: (626) 793-4168

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NPI Details

DR. Gautam Vangipuram, M.D is a retina specialist ophthalmology in Pasadena, CA with 11 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Gautam Vangipuram, M.D NPI is 1780052233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2015

The provider's business location address is:

2619 E COLORADO BLVD STE 150
PASADENA, CA
ZIP 91107-747
Phone: (626) 793-4168
Fax: (626) 793-6256

The NPI 1780052233 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)

The enumeration date for this NPI number is 9/14/2015 and was last updated on 1/10/2022.

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
1207W00000XOphthalmology2019018140MISSOURINo
2207WX0107XOphthalmologyRetina Specialist2019018140MISSOURINo
3207WX0107XOphthalmologyRetina SpecialistC173301CALIFORNIAYes

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

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