Individual provider Active NPI

Archana Gautam, MD

  • Cardiovascular Disease Physician
  • Norman, OK
National Provider Identifier
1023158482
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22150 Issued in OK
Practice address
3500 Healthplex Pkwy Ste 200
Norman, OK 73072-9801
Phone
(405) 515-2222
Fax
(405) 307-5617
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22150 OK
Interventional Cardiology Physician 207RI0011X 22150 OK
Cardiovascular Disease Physician 207RC0000X 22150 OK Primary

Addresses

Primary practice location

3500 Healthplex Pkwy Ste 200
Norman, OK 73072-9801

Mailing address

PO Box 269031
Oklahoma City, OK 73126-9031
Phone (405) 310-0836

Other identifiers 1

IdentifierTypeStateIssuer
200113010BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000325 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082705967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

3500 Healthplex Pkwy
Norman, OK 73072-9801

901 N Porter Ave
Norman Regional
Norman, OK 73071-6404
Phone (405) 307-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Coronary angioplasty and stenting97
Pacemaker insertion or repair14
Varicose vein removal21
Leg revascularization (restoring blood flow)33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Dec 1, 2017 Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

700 S Telephone Rd
Ste 301
Moore, OK 73160
Phone (405) 307-5701

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

500 E Robinson St
Ste 900
Norman, OK 73071
Phone (405) 321-0199

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3500 Healthplex Pkwy
Ste 200
Norman, OK 73072
Phone (405) 307-5710

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

Interoperability endpoints

  • Direct secure messaging: archana.gautam@nrh.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1023158482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269031",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269031",
            "telephone_number": "405-310-0836",
            "fax_number": "405-758-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HEALTHPLEX PKWY STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729801",
            "telephone_number": "405-515-2222",
            "fax_number": "405-307-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTAM",
        "first_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22150",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "22150",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "22150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200113010B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.