Active NPI
Gautam K Singh, MD
- Pediatric Cardiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 4301503589
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (800) 653-6568
- Fax
- (313) 876-1305
- NPI assigned
- Jul 18, 2006
- Last updated
- Mar 1, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 108179 | MO | |
| Pediatric Cardiology Physician | 2080P0202X | 108179 | MO | |
| Pediatric Cardiology Physician | 2080P0202X | 4301503589 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (800) 653-6568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208027409 | Medicaid | MO | |
| 1245258920 | Medicaid | MI | |
| ENROLLED | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301503589 | MI | MD | Emergency Medicine Physician |
| 108179 | MO | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Henry Ford Health System | Pediatric Cardiology | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Pediatrics | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc. | Current | Accepting new patients | |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| VHS Childrens Hospital of Michigan Inc | Past | Accepting new patients |
Locations
3901 Beaubien St
Fl 4
Detroit, MI 48201
Phone (313) 745-4878
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
760 W Franklin St
Jackson, MI 49201
Phone (517) 205-1461
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
1 Childrens Pl
#8116
Saint Louis, MO 63110
Phone (314) 454-6095
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
Interoperability endpoints
- gsingh719024@direct.hfhs.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Allegiance Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1982787487
Pediatric Cardiology
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Pediatrics Physician
- Jackson, MI
- NPI 1891232740
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
dba Childrens Hospital of Michigan
- Children's Hospital
- Detroit, MI
- NPI 1538471800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Childrens Hospital of Michigan
- Children's Hospital
- Detroit, MI
- NPI 1538471800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1245258920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "GAUTAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "108179",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MO",
"license": "108179",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MI",
"license": "4301503589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208027409",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245258920",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.