Active NPI
Gautam Kareti, MD
- Neurology Physician
- Lancaster, CA
National Provider Identifier
1134326697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 258097
- Practice address
- 42135 10TH St W Ste 301
Lancaster, CA 93534-6093 - Phone
- (661) 945-6931
- Fax
- (661) 945-2864
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 258097 | NY | Primary |
Addresses
Primary practice location
42135 10TH St W Ste 301
Lancaster, CA 93534-6093
Mailing address
42135 10TH St W Ste 301
Lancaster, CA 93534-6093
Phone (661) 945-6931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150121000165 | CA | Practitioner - Neurology | 9830361542 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Antelope Valley Neuroscience
Practice addresses (Care Compare)
42135 10TH St W
Suite 301
Lancaster, CA 93534-6093
Phone (661) 945-6931
Hospital & facility affiliations
- Get Well Home Health, Inc
- Antelope Valley Hospital
- Ridgecrest Regional Hospital
- Palmdale Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258097 | NY | MD | Neurology Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Hospital Corporation | Past | Accepting new patients | |
| Riverside Health System | Past | Accepting new patients | |
| Riverside Health System | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Antelope Valley Health Care District | Past | Accepting new patients | |
| Reen Medical Group Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
-
- Internal Medicine Physician
- Ridgecrest, CA
- NPI 1679828776
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
Hospital
-
- Home Health Agency
- Valencia, CA
- NPI 1750663951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1134326697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42135 10TH ST W STE 301",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935346093",
"telephone_number": "661-945-6931",
"fax_number": "661-945-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42135 10TH ST W STE 301",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935346093",
"telephone_number": "661-945-6931",
"fax_number": "661-945-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARETI",
"first_name": "GAUTAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "258097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.