Deepak Gautam

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Practice address

5440 Rockhurst Dr
Canal Winchester, OH 43110-7986

Phone

(616) 617-4136

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Flagshipgautam LLC

  dba careride trasport llc

  • Non-emergency Medical Transport (VAN)
  • Canal Winchester, OH
  • NPI 1629855671
  NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1275319519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 ROCKHURST DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107986",
            "telephone_number": "616-617-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 ROCKHURST DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107986",
            "telephone_number": "616-617-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTAM",
        "first_name": "DEEPAK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Zandale Gales
• Raynette S Galloway-Foster
• Sylvia D Galloway
• Alethea A Gardner, RN
• Dossie Mae Garrett, RN
• Rosie Kioeway Gbeintor
• Theodore German, PT
• Aditi Ghose
• Sheila Rhenate Gibbs, RN
• Eric Alexander Gibson

• Transportation Broker in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Transportation Broker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.