GAUTAM GANGULY M.D.
NPI 1215912522
Psychiatry & Neurology - Neurology in Whittier, CA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
12291 WASHINGTON BLVD, 303, WHITTIER, CA 90606(562) 698-6296(562) 693-6752 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gautam Ganguly M.d. NPPES

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

GAUTAM GANGULY M.D. (NPI 1215912522) is an individual neurology provider in Whittier, California, licensed in California (A69058) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1215912522
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameGAUTAM GANGULYCredential: M.D.
Location Address12291 WASHINGTON BLVD, 303Whittier, CA 90606-2500
Mailing Address101 E Beverly Blvd, 206Montebello, CA 90640-4300 · (323) 725-7297 · Fax (323) 725-0335
Fax(562) 693-6752
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1215912522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A69058
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
12291 WASHINGTON BLVD, Whittier, CA 90606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gautam Ganguly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446444384
PECOS Enrollment IDI20101104000378
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gautam Ganguly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
12291 WASHINGTON BLVD, SUITES 102 -201 -205
Whittier, CA 90606
  • Reassigned Medicare billing, California enrollment
  • 840 clinicians in this Medicare group
Specialist
12291 WASHINGTON BLVD, SUITE 303
Whittier, CA 90606
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Brian A Beck MD A Medical Corp Etal Ptr Leonard A Gale MD Medical Corp
  • 8 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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
214 services202 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services139 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services87 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
85 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services28 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$47.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers14 claims14 services$16.58 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$10.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims60 services$1.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
12291 WASHINGTON BLVD, SUITE 500
WHITTIER, CA 90606
Family Medicine
12291 WASHINGTON BLVD, 500
WHITTIER, CA 90606
General Acute Care Hospital
12291 WASHINGTON BLVD
WHITTIER, CA 90606
Pharmacist
12291 WASHINGTON BLVD, 500
WHITTIER, CA 90606
Surgery
12291 WASHINGTON BLVD, SUITE 500
WHITTIER, CA 90606
Internal Medicine (Rheumatology)
12291 WASHINGTON BLVD, SUITE 300
WHITTIER, CA 90606
Family Medicine
12291 WASHINGTON BLVD, 500
WHITTIER, CA 90606
Surgery
12291 WASHINGTON BLVD, SUITE 102
WHITTIER, CA 90606

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 Ganguly's NPI number?

The NPI number for Gautam Ganguly is 1215912522. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Gautam Ganguly located?

Gautam Ganguly practices at 12291 Washington Blvd 303, Whittier, CA 90606. The listed phone number is (562) 698-6296.

What is Gautam Ganguly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Gautam Ganguly enrolled in Medicare?

Yes. Gautam Ganguly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gautam Ganguly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Ganguly reassigns Medicare benefits to 2 organizations: Pih Health Physicians (Whittier, CA) and Richard A. Rison, M.D., Inc. (Whittier, CA). Each 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 Ganguly'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 Ganguly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.