Gautam Dev


Address: 1205 Cape Ct, Suite A, Fayetteville, NC 28304-4404

Gautam Dev (NPI# 1437126224, PAC ID# 0749379212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1437126224
PAC ID by PECOS 0749379212
Professional Enrollment ID I20071205000697
Full Name Gautam Dev
Address 1205 Cape Ct
Suite A
Fayetteville
NC 28304-4404
Gender M
Graduation Year 1982
Primary Specialty PULMONARY DISEASE
Secondary Specialties SLEEP MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340028 CAPE FEAR VALLEY MEDICAL CENTER
340024 SAMPSON REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1205 Cape Ct, Suite A, Fayetteville, NC 28304-4404

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 1205 CAPE CT
SUITE A
City FAYETTEVILLE
State NC
Zip 28304-4404

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Name Specialty Organization Address
Rachelle Kelly Porath Physical Therapy Activcare Physical Therapy, LLC 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590
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Abigail Michelle Weiskopf Physical Therapy Activcare Physical Therapy, LLC 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590
Cynthia Caskey Oberfelder Diagnostic Radiology Oroville Hospital 2053 Loganberry Dr, Fayetteville, NC 28304-0804
Frank C Snyder Diagnostic Radiology Oroville Hospital 2053 Loganberry Dr, Fayetteville, NC 28304-0804
Latondra Denise Stillwell Barker Physician Assistant Cumberland County Hospital System Inc 3308 Melrose Rd, Fayetteville, NC 28304-1604
Cheryl J Fiser Clinical Social Worker Cumberland County Hospital System Inc 3308 Melrose Rd, Fayetteville, NC 28304-1604
Amita S Shetty Internal Medicine Cumberland County Hospital System Inc 3308 Melrose Rd, Fayetteville, NC 28304-1604
Yvonne W Lewis Physician Assistant Cumberland County Hospital System Inc 3308 Melrose Rd, Fayetteville, NC 28304-1604
Sheila M Agustin Nurse Practitioner Cumberland County Hospital System Inc 3308 Melrose Rd, Fayetteville, NC 28304-1604
Find all physicians in zip 28304

Competitor

Search similar physicians

City FAYETTEVILLE
Zip Code 28304
Specialty PULMONARY DISEASE
City + Specialty FAYETTEVILLE + PULMONARY DISEASE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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