Doctor profile · Federal record
Dr. Gautam Dutta
Hospitalist Physician (CMS: Internal Medicine) · Cookeville, TN
- NPI 1245352970
- Accepts Medicare
- 32 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Medical Center Blvd, Suite 103
Cookeville, TN 385014294
(931) 783-2770
fax (931) 525-1176 - Mailing address
-
127 N Oak Ave, Suite D
Cookeville, TN 385012435
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- December 29, 2021
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- Tennessee #MD45220
- Medicaid
- TN #1516195
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245352970. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| EVOKE PHARMA, INC. | 1 | $16.43 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Gautam Dutta's medical specialty?
Dr. Gautam Dutta practices Hospitalist Physician in Cookeville, TN.
Where does Dr. Gautam Dutta practice?
Dr. Gautam Dutta practices at 1 Medical Center Blvd, Cookeville, TN 385014294. Office phone: 9317832770.
What is Dr. Gautam Dutta's NPI?
Dr. Gautam Dutta's National Provider Identifier (NPI) is 1245352970, issued by NPPES.
Does Dr. Gautam Dutta accept Medicare assignment?
Yes. Dr. Gautam Dutta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.