DR. GAUTAM RAJENDRAN (MD) – Child & Adolescent Psychiatry Physician, NPI 1568496941

DR. GAUTAM RAJENDRAN (MD) is a healthcare provider. based in Aurora, Colorado. specializing in PSYCHIATRY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 44294 (CO). The NPI Number for DR. GAUTAM RAJENDRAN (MD) is 1568496941

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAUTAM RAJENDRAN (MD)
NPI
1568496941
Phone
(720) 777-1234
Address
13123 E 16TH AVE
Enumeration Date
10 July 2006
Last Update Date
30 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207771234
Graduation Year
1998 (28 years ago)
PAC ID
2961593728
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20070808000299
Address ID
CO800457106AU13123AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

607 PSYCHIATRY in CO

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Provider Addresses for DR. GAUTAM RAJENDRAN (MD)

  • Children's Hospital Colorado Emergency Department (ED), 13123, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800457106

    Phone: (720) 777-1234

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070808000299IPsychiatryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Can I verify DR. GAUTAM RAJENDRAN (MD) with an NPI only?
You can start verification with NPI 1568496941 for DR. GAUTAM RAJENDRAN (MD), then check state licensing separately.
Is DR. GAUTAM RAJENDRAN (MD) listed as active for patients and plans?
The listing shows DR. GAUTAM RAJENDRAN (MD) as active in the NPI system.
What is DR. GAUTAM RAJENDRAN (MD)'s specialty?
The listing groups DR. GAUTAM RAJENDRAN (MD) with Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. GAUTAM RAJENDRAN (MD) list a practice location?
Patients near Aurora, Colorado may find DR. GAUTAM RAJENDRAN (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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