DR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIAN MD
NPI 1053998278
Student in an Organized Health Care Education/Training Program in New York, NY
About Dr. Gautam Shanmuga Dhar Balasubramania Pandian Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIAN MD (NPI 1053998278) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gautam Shanmuga Dhar Balasubramania Pandian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gautam Shanmuga Dhar Balasubramania Pandian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Gautam Shanmuga Dhar Balasubramania Pandian's NPI number?
The NPI number for Gautam Shanmuga Dhar Balasubramania Pandian is 1053998278. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Gautam Shanmuga Dhar Balasubramania Pandian located?
Gautam Shanmuga Dhar Balasubramania Pandian practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (212) 939-2291.
What is Gautam Shanmuga Dhar Balasubramania Pandian's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gautam Shanmuga Dhar Balasubramania Pandian enrolled in Medicare?
Yes. Gautam Shanmuga Dhar Balasubramania Pandian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gautam Shanmuga Dhar Balasubramania Pandian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Shanmuga Dhar Balasubramania Pandian reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The 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 Gautam Shanmuga Dhar Balasubramania Pandian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gautam Shanmuga Dhar Balasubramania Pandian was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Gautam Shanmuga Dhar Balasubramania Pandian, MD · NPI 1053998278
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1053998278 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 LENOX AVE, New York, NY 10037-1802
- **Phone:** (212) 939-2291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 25, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1053998278) · Data from the CMS NPPES public registry.