DR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIAN MD
NPI 1053998278
Student in an Organized Health Care Education/Training Program in New York, NY

Q: 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.

Active since March 25, 2021PECOS Enrolled

506 LENOX AVE, NEW YORK, NY 10037(212) 939-2291 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1053998278

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GAUTAM SHANMUGA DHAR BALASUBRAMANIA PANDIANCredential: MD

Location Address506 LENOX AVENew York, NY 10037-1802

Mailing Address506 Lenox AveNew York, NY 10037-1802 · (212) 939-2291

Phone(212) 939-2291

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 25, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1053998278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

506 LENOX AVE, New York, NY 10037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID42797680

PECOS Enrollment IDI20260126000277

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEPHEN CHAN MD

Radiology (Diagnostic Radiology)

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-4902

JOAN A CULPEPPER-MORGAN M.D.

Internal Medicine (Gastroenterology)

506 LENOX AVE, MLK 13-106
NEW YORK, NY 10037

New York County (212) 939-1430

DR. SHARLA D BRYAN DO

Emergency Medicine

506 LENOX AVE, MLK RM 2105
NEW YORK, NY 10037

New York County (212) 939-2250

MARY MARGARET CARAM

Social Worker (Clinical)

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-4601

HILDA MARLENE LLIGUIN PHYSICIAN ASSISTANT

Physician Assistant (Surgical)

506 LENOX AVE
NEW YORK, NY 10037

New York County (917) 729-3760

MS. SANDY TORRES P.T.

Physical Therapist

506 LENOX AVE, REHAB MEDICINE DEPT
NEW YORK, NY 10037

New York County (212) 939-4442

MR. EDWARD BOATENG PHYSICIAN ASSISTANT

General Acute Care Hospital (Critical Access)

506 LENOX AVE, MLK-PAVILION, 12 TH FLOOR, SURGERY DEPARTMENT
NEW YORK, NY 10037

New York County (212) 939-4680

MS. PETRICIA SAN MIGUEL TORRENO PT

Physical Therapist

506 LENOX AVE, 3RD FLOOR, RM 3137
NEW YORK, NY 10037

New York County (212) 939-4442

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.

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 with the weekly NPPES data releases published by CMS.