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GAURAV DATTA MD INC
NPI 1033735931
Internal Medicine in Elk Grove, CA

Active since June 17, 2020
7510 FORTALEZA AVE, ELK GROVE, CA 95757(414) 336-8677(925) 954-6958 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2023, Sep 9, 2021, Jun 17, 2020 (3 updates tracked since 2020).

About Gaurav Datta Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAURAV DATTA MD INC (NPI 1033735931) is a healthcare organization registered as an internal medicine in Elk Grove, California and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists Gaurav Datta, Owner, as its authorized official.

NPPES Registry Identity

NPI1033735931
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGAURAV DATTA MD INC
Location Address7510 FORTALEZA AVEElk Grove, CA 95757-1769
Mailing Address7510 Fortaleza AveElk Grove, CA 95757-1769 · (414) 336-8677 · Fax (925) 954-6958
Phone(414) 336-8677
Fax(925) 954-6958
Organization SubpartNo
Authorized OfficialGaurav DattaOwner · (414) 336-8677
Enumeration DateJune 17, 2020
Last NPPES UpdateJanuary 13, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1033735931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
7510 FORTALEZA AVE, Elk Grove, CA 95757
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Secondary Practice Locations 2

Location 126 TamariskMoraga, CA 94556-3009 · Phone (414) 336-8677
Location 2199 E Webster StColusa, CA 95932-2954 · Phone (530) 619-0800

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaurav Datta Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gaurav Datta MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gaurav Datta, MD
Internal Medicine
NPI 1225184765
7510 FORTALEZA AVE
Elk Grove, CA 95757
(414) 336-8677
✔ PECOS✔ Accepts MedicareSame address
Bhupinder Sangha, NP
Nurse Practitioner
NPI 1295137784
7078 N MAPLE AVE STE 101
Fresno, CA 93720
(559) 449-8200
✔ PECOS✔ Accepts Medicare140 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaurav Datta MD Inc's NPI number?

The NPI number for Gaurav Datta MD Inc is 1033735931. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Gaurav Datta MD Inc located?

Gaurav Datta MD Inc is located at 7510 Fortaleza Ave, Elk Grove, CA 95757. The listed phone number is (414) 336-8677.

What is Gaurav Datta MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gaurav Datta MD Inc enrolled in Medicare?

Yes. Gaurav Datta MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gaurav Datta MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gaurav Datta MD Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gaurav Datta MD Inc was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.