Individual provider Active NPI

Gautam Kareti, MD

  • Neurology Physician
  • Lancaster, CA
National Provider Identifier
1134326697
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
258097 Issued in NY
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

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NeuroscienceGroup PAC ID 0345205944, 6 clinicians

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 Home health agency, Valencia, CA, CCN 059487
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258097NYMDNeurology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew 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 PastSince Feb 14, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.