Individual provider Active NPI

Gautam Siram, M.D.

  • Orthopaedic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1689820672
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0074565 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322
Phone
(301) 657-9876
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X D0074565 MD
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X D0074565 MD Primary
Orthopaedic Surgery Physician 207X00000X MD040782 DC

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322

Mailing address

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322
Phone (301) 657-9876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000124 DC Practitioner - Orthopedic Surgery 4789853003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

5530 Wisconsin Ave
Chevy Chase, MD 20815-4322

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

7500 Old Georgetown Rd
Suite 301
Bethesda, MD 20814-6133
Phone (301) 657-9876

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement130
Knee replacement127
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074565MDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Medical Faculty Associates, Inc Single Specialty CurrentSince Feb 9, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2014 Accepting new patients
Centers for Advanced Orthopaedics, LLC Single Specialty Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Orthopaedic Surgery Past Accepting new patients

Locations

2300 M St NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

3 Washington Cir NW
Ste 404
Washington, DC 20037
Phone (202) 333-2820

7500 Old Georgetown Rd
Ste 301
Bethesda, MD 20814
Phone (301) 657-9876

5530 Wisconsin Ave
Ste 1660
Chevy Chase, MD 20815
Phone (301) 657-9876

5530 Wisconsin Ave
North Chevy Chase, MD 20815
Phone (301) 907-0002

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

Interoperability endpoints

  • Direct secure messaging: 27gsiram@cfaortho.emadirect.md

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 5

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1689820672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAM",
        "first_name": "GAUTAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D0074565",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0074565",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD040782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.