Gautam Jayaswal, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2001031034 Issued in MO

Practice address

638 E Young Ave
Warrensburg, MO 64093-9608

Phone

(913) 205-4305

NPI assigned

Oct 24, 2007

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gautam.jayaswal.1@6815.direct.athenahealth.com
• Direct secure messaging: gautuam.jayaswal@avera.sdhealthlink.net

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.

• Jay Enterprise LLC

  • Clinic/Center
  • Overland Park, KS
  • NPI 1730709023
  Authorized official Same address or phone
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268
  NPD (past)
• Pike Emergency Medicine LLC

  • Emergency Medicine Physician
  • Louisiana, MO
  • NPI 1871738823
  NPD (past)
• Carespot Professional Services LLC

  dba CareNow

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD (past)
• Community Memorial Hospital

  • Critical Access Hospital
  • Hicksville, OH
  • NPI 1730145392
  NPD (past)
• Del Medical Associates Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1942480850
  NPD (past)
• Early Memorial Hospital

  • Critical Access Hospital
  • Blakely, GA
  • NPI 1548214018
  NPD (past)
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Osceola, IA
  • NPI 1740291087
  NPD (past)
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503
  NPD (past)
• Georgia Em-I Medical Services, LLC

  • Nurse Practitioner
  • Covington, GA
  • NPI 1255213005

  Emergency Medicine

  NPD (past)
• Hospital Authority of Jeff Davis County Georgia

  dba Jeff Davis Family Medical Group

  • Rural Health Clinic/Center
  • Hazlehurst, GA
  • NPI 1912379082
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1477732659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 W 119TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131225",
            "telephone_number": "913-685-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939608",
            "telephone_number": "913-205-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASWAL",
        "first_name": "GAUTAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "34889",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "66431",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0427454",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0056136",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "60244",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2001031034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc
• Riddhi Ishanpara, PHARM D
• J B Astik M D P a (J.B. Astik, MD)
• Callie Marie Jackson
• Danielle Beverly Jackson
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Care Center
• Johnson County Community Health Services (Johnson County Hospice Care)

• Emergency Medicine Physician in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.