Doctor profile · Federal record

Dr. Kushal Gautam

Student in an Organized Health Care Education/Training Program · Valhalla, NY

  • NPI 1104562438
  • 4 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
100 Woods RD
Valhalla, NY 105951530
(570) 866-3058

Credentials & registration

NPPES · NUCC
NPI registered
May 2022 — 4 yrs on file
Profile last updated
April 21, 2025
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104562438. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Novo Nordisk INC 1 $17.48

By nature of payment

Food and Beverage
$17

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
110
Patients
11
Total drug cost
$8,106
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 24 11 $137
Cyclobenzaprine Hcl Generic 22 0 $74
Atorvastatin Calcium Generic 18 0 $273
Metoprolol Succinate Generic 18 0 $336
Eliquis (Apixaban) Brand 14 0 $7,220
Metformin Hcl Generic 14 0 $66

Frequently asked questions

Auto-generated from federal data
What is Dr. Kushal Gautam's medical specialty?
Dr. Kushal Gautam practices Student in an Organized Health Care Education/Training Program in Valhalla, NY.
Where does Dr. Kushal Gautam practice?
Dr. Kushal Gautam practices at 100 Woods RD, Valhalla, NY 105951530. Office phone: 5708663058.
What is Dr. Kushal Gautam's NPI?
Dr. Kushal Gautam's National Provider Identifier (NPI) is 1104562438, issued by NPPES.