Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gautam Dutta

Individual provider Hospitalist Physician · NPI 1245352970

Gautam Dutta is an Internal Medicine in Cookeville, Tennessee. Qualified in 1994, 32 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Licensed in
TN
In the registry since
2007
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Practice location Address checks out

1 Medical Center Blvd Ste 103
Cookeville, TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD45220 (TN)

Record details

NPI number1245352970
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cookeville