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

Ozone Gautam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053042366

Ozone Gautam, MD is an Internal Medicine in Vancouver, Washington. Qualified in 2015, 11 years ago. Practices with Apogee Medical Group Virginia PC, a 36-clinician group and accepts Medicare assignment. Licensed in Virginia and Washington.

Years since qualifying
11
Licensed in
VA, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2211 NE 139th St
Vancouver, WA 98686-2742
Phone: (360) 487-1168
Fax: (503) 413-7361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101285256 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MDRE.ML.61299254 (WA)

Record details

NPI number1053042366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Apogee Medical Group Virginia Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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