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Active NPI 1497360689 Individual Practitioner Male Practitioner

Dr. Ramesh Gautam , DNP

Nurse Practitioner - Primary Care • Fort Eustis, VA

Professional Overview & Biography Verified Profile Summary

Dr. Ramesh Gautam, DNP is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Fort Eustis, VA. Practice services are available at 576 JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

576 Jefferson Ave

Fort Eustis, VA 236041373

Telephone 7573147500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Fort Eustis, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Fort Eustis, VA (223 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-02
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX 1091132

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Benjamin Nusbaum , RDN

Dietitian, Registered

NPI 1033686381

Registered Dietitian Nutritionist

Dr. Saw San , DO

Internal Medicine

NPI 1043548514

Doctor of Osteopathic Medicine (D.O.)

Reed Jordan , PA

Physician Assistant

NPI 1053387332

Physician Assistant

NPI 1104440643

Doctor of Medicine (M.D.)

NPI 1114122421

Doctor of Medicine (M.D.)

Lesli Hughes , LCSW

Social Worker - Clinical

NPI 1114322054

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 02, 2026

Registered at 576 JEFFERSON AVE, FORT EUSTIS, VA 236041373 (Tel: 7573147500)

📍
Updated Business Mailing Address April 02, 2026

Registered at 576 JEFFERSON AVE, FORT EUSTIS, VA 236041373 (Tel: 7573147500)

📍
Updated Practice Location August 30, 2022

Registered at 6600 VAN AALST BLVD, FORT BENNING, GA 319052102 (Tel: 7624082273)

📍
Updated Business Mailing Address August 30, 2022

Registered at 6600 VAN AALST BLVD, FORT BENNING, GA 319052102

👤
Provider Name / Credentials Updated August 30, 2022

Recorded as RAMESH GAUTAM, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Nurse Practitioner (License #1091132 in TX)

NPI Profile Active September 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2020

Registered at 4301 JONES BRIDGE RD, BETHESDA, MD 208144799 (Tel: 8005155257)

📍
Updated Business Mailing Address September 14, 2020

Registered at 8200 WISCONSIN AVE APT 116, BETHESDA, MD 208143109 (Tel: 8328756506)

👤
Provider Name / Credentials Updated September 14, 2020

Recorded as RAMESH GAUTAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Registered Nurse (License #772693 in TX)

🟢
Initial NPI Registration & Enumeration September 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497360689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2020
Last Update: April 02, 2026
Sole Proprietor: Yes

Mailing Address

576 Jefferson Ave

Fort Eustis, VA 236041373

Phone: 7573147500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.