P Praxis·MD
● Active Type 1 · Individual

Gautam Baskaran, MD

Internal Medicine·Longview, TX· NPI 1679732549 · Enumerated 2008 · 17 years on NPI
Baskaran is 1 of 16 internal medicine providers in Longview and 1 of 1318 in Texas.
NPI age
17 years
Enumerated 2008-06-05
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1318 active internal medicine providers in Texas.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 57% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
705 E Marshall Ave Ste 5001
Longview, TX 756015524
📞 9033154551fax 9033153415
Mailing address
705 E Marshall Ave Ste 5001
Longview, TX 756015524
📞 9033154551fax 9033153415

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
703 E Marshall Ave Ste 5008
Longview, TX 756015557
📞 9033155555
Location 3
703 E Marshall Ave Ste 4003
Longview, TX 756015500
📞 9033155555
Location 4
815 S Washington Ave Ste 303
Marshall, TX 756705358
📞 9039345100

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    TX license #Q0003MO license #2011014212 taxonomy 207RP1001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 (TX) P02599916 MCRR
05 (TX) 335691703
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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