Ravindra Gautam, M.D., Inc.
NPI 1366490310 · Internal Medicine Physician · Barstow, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ravindra Gautam, M.D., Inc. is a Internal Medicine Physician organization in Barstow, CA (NPI 1366490310).
Provider details
- NPI number
- 1366490310
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ravindra Gautam MD
- Organization subpart
- Yes
- Authorized official
- Ravindra Gautam, Ceo(760) 256-1004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiac Rehabilitation Registered Nurse163WC3500X
Nursing Service Providers
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Cardiac Rehabilitation Clinic/Center261QR0404X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 121 S 7th Ave Ste aBarstow, CA 92311-3059Phone: (760) 818-4228Fax: (760) 818-4573
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Frequently asked questions
- What is Ravindra Gautam, M.D., Inc.'s NPI number?
- Ravindra Gautam, M.D., Inc.'s National Provider Identifier (NPI) is 1366490310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ravindra Gautam, M.D., Inc.?
- Ravindra Gautam, M.D., Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ravindra Gautam, M.D., Inc. located?
- Ravindra Gautam, M.D., Inc.'s practice location on file with NPPES is 930 W Main St, Barstow, CA 92311-2654.
- What is Ravindra Gautam, M.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ravindra Gautam, M.D., Inc. is (760) 256-1004.
- Does Ravindra Gautam, M.D., Inc. accept Medicare?
- Ravindra Gautam, M.D., Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ravindra Gautam, M.D., Inc.?
- The authorized official listed on Ravindra Gautam, M.D., Inc.'s NPPES record is Ravindra Gautam, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ravindra Gautam, M.D., Inc.'s NPI active?
- Yes — Ravindra Gautam, M.D., Inc.'s NPI (1366490310) is active in the NPPES registry as of the last update on 2024-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.