Active NPI
Subarna Gautam, M.D.
- Hospitalist Physician
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2025-01329
- Practice address
- 1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146 - Phone
- (336) 564-4866
- Fax
- (336) 277-6815
- NPI assigned
- Apr 19, 2019
- Last updated
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD477958 | PA | |
| Hospitalist Physician | 208M00000X | 2025-01329 | NC | Primary |
Addresses
Primary practice location
1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 564-4866
Other practice location 1
1211 Wilmington Ave
UPMC Jameson Hospital
New Castle, PA 16105
Phone (724) 658-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01329 | NC | MD | Hospitalist Physician |
| MD477958 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Hospitalist | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Jameson | Past | Accepting new patients |
Locations
1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
Interoperability endpoints
- sgautam1701519@direct.novanthealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba NHMG Hospital Based Medicine
- Hospitalist Physician
- Winston Salem, NC
- NPI 1740903566
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1861457830
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1942863436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-564-4866",
"fax_number": "336-277-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 KERNERSVILLE MEDICAL PKWY",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847146",
"telephone_number": "336-564-4866",
"fax_number": "336-277-6815"
}
],
"practiceLocations": [
{
"address_1": "1211 Wilmington Ave",
"address_2": "UPMC Jameson Hospital",
"address_purpose": "LOCATION",
"city": "New Castle",
"state": "PA",
"postal_code": "16105",
"country_code": "US",
"telephone_number": "724-658-9001",
"fax_number": "330-884-5688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUTAM",
"first_name": "SUBARNA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD477958",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2025-01329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
- Gaston Family Health Services, Inc (Kintegra/SHA at Kernersville Elementary)
- Gastroenterology Associates of the Piedmont, P.a.
- Gastroenterology Associates of the Piedmont, P.a.
- Gateway Pharmacy LLC
- Jeevan Gautam, MD
- Eric Gavour, MD
- Generations Family Practice, PA (Kernersville Primary Care)
- Tyana Geronimo
- Cristie Elvin Gibson, PA
- Zyaire J Gill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.