Gautam Baskaran, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

Q0003 Issued in TX

Practice address

705 E Marshall Ave Ste 5001
Longview, TX 75601-5524

Phone

(903) 315-4551

Fax

(903) 315-3415

NPI assigned

Jun 5, 2008

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, IN, NM, AZ, KY, NC, AR, SC, VA, AL, MO, ME, NY, OH, KS, GA, OK, FL18 enrollments

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 18

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Northeast Texas Intensivists, PLLCGroup PAC ID 5092167528, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
• Longview Continuecare Hospital Long-term care hospital, Longview, TX, CCN 452091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Northeast Texas Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Longview, TX
  • NPI 1497536676
  Medicare reassignment Care Compare group NPD
• Upson Medical Associates LLC

  • Anesthesiology Physician
  • Thomaston, GA
  • NPI 1871575993

  TX

  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AL, AR, AZ, FL, GA, IN, KY, ME, MO, NC, NM, NY, OH, OK, SC, VA

  Medicare reassignment Care Compare group
• Ap US 14, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1902415904

  KS

  Medicare reassignment NPD
• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• East Texas Pulmonary Associates of Longview, PLLC

  dba East Texas Pulmonary Associates

  • Pulmonary Disease Physician
  • Longview, TX
  • NPI 1407932510
  NPD
• BBH CBMC, LLC

  dba Baptist Health Citizens Hospital

  • General Acute Care Hospital
  • Talladega, AL
  • NPI 1174977557
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba Christus St. Michael Health System

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba CHRISTUS St. Michael Health System

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Continuecare Hospital of Tyler, Inc.

  dba Tyler ContinueCARE Hospital at Mother Frances Hospital

  • Long Term Care Hospital
  • Tyler, TX
  • NPI 1174524466

  Long-term care hospital

  Care Compare affiliation
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1679732549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 5001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015524",
            "telephone_number": "903-315-4551",
            "fax_number": "903-315-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 5001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015524",
            "telephone_number": "903-315-4551",
            "fax_number": "903-315-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Marshall Ave Ste 5008",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015557",
            "country_code": "US",
            "telephone_number": "903-315-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 E Marshall Ave Ste 4003",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015500",
            "country_code": "US",
            "telephone_number": "903-315-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Washington Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756705358",
            "country_code": "US",
            "telephone_number": "903-934-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASKARAN",
        "first_name": "GAUTAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2011014212",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q0003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02599916",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335691703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Ruth Barrow, RN
• Genie Bartlett, RN, FNP
• Catherine Ann Barton, LCSW LMFT
• Lora Barton
• Alex Charles Basdeo, DO
• Kalpana Kumari Basoor, MD
• Jeani Battershell
• Mark Brian Baumgarner
• Baylor Pathology
• Catrina Beard, CRNA-MSN

• Pulmonary Disease Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.

Verify at the official NPI Registry.