NPIMap

Individual provider Active NPI

Gautam Pareek, M.D.

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1386756427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C50776 Issued in CA
Practice address
3755 Beacon Ave
Fremont, CA 94538-1411
Phone
(510) 796-7796
Fax
(510) 796-7797
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C50776 CA Primary

Addresses

Primary practice location

3755 Beacon Ave
Fremont, CA 94538-1411

Mailing address

PO Box 2067
Fremont, CA 94536-0067
Phone (510) 796-7796

Other identifiers 1

IdentifierTypeStateIssuer
00C507760MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090731000582 CA Practitioner - Internal Medicine 5092868430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Gautam Pareek MD IncGroup PAC ID 4486026747, 4 clinicians

Practice addresses (Care Compare)

1649 Industrial Pkwy W
Hayward, CA 94544-7046
Phone 51078094001005

3755 Beacon Ave
Fremont, CA 94538-1411
Phone (510) 796-7796

Hospital & facility affiliations

  • Vital Home Health Care Home health agency, Hayward, CA, CCN 059462
  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • Sunbright Home Health Care Home health agency, Pleasanton, CA, CCN 559320
  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Sehaj Home Health, Inc Home health agency, Fremont, CA, CCN 059705
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Merit-based Incentive Payment System (MIPS)

Final score
38.68 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
74.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50776CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gautam Pareek MD Inc Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
St Francis Medical Group PC CurrentSince Jul 3, 2023 Accepting new patients
Upmc Washington Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

3755 Beacon Ave
Fremont, CA 94538
Phone (510) 760-4512

1649 Industrial Pkwy W
Hayward, CA 94544
Phone (510) 780-9400

1090 La Playa Dr
Hayward, CA 94545
Phone (510) 403-1699

Interoperability endpoints

  • Direct secure messaging: gpareek13741@direct.whhs.com

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 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386756427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2067",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945360067",
            "telephone_number": "510-796-7796",
            "fax_number": "510-796-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381411",
            "telephone_number": "510-796-7796",
            "fax_number": "510-796-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREEK",
        "first_name": "GAUTAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C507760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.