GAURAV DATTA MD
NPI 1225184765
Internal Medicine in Elk Grove, CA
About Gaurav Datta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAURAV DATTA MD (NPI 1225184765) is an individual internal medicine provider in Elk Grove, California, licensed in California (C153705) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
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
Gaurav Datta Md 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.
Medicare Billing Reassignments
7Medicare enrollment records show Gaurav Datta reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elk Grove, CA 95757
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Lodi, CA 95242
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Carmichael, CA 95608
- Reassigned Medicare billing, California enrollment
- 66 clinicians in this Medicare group
Stockton, CA 95219
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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's NPI number?
The NPI number for Gaurav Datta is 1225184765. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Gaurav Datta located?
Gaurav Datta practices at 7510 Fortaleza Ave, Elk Grove, CA 95757. The listed phone number is (414) 336-8677.
What is Gaurav Datta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gaurav Datta enrolled in Medicare?
Yes. Gaurav Datta 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 Gaurav Datta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Datta reassigns Medicare benefits to 7 organizations: Gaurav Datta MD Inc (Elk Grove, CA), Lodi Memorial Hospital Association Inc (Lodi, CA), Amplehealth (Carmichael, CA), Access Physician Inc. (Stockton, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and 2 more organizations, listed in the Medicare section above. 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 Gaurav Datta'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 Gaurav Datta was last updated on January 12, 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.
# Gaurav Datta, MD · NPI 1225184765
Internal Medicine physician in Elk Grove, California. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1225184765 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C153705 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7510 FORTALEZA AVE, Elk Grove, CA 95757-1769
- **Phone:** (414) 336-8677 · **Fax:** (925) 954-6958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Gaurav Datta MD Inc (NPI 1033735931, Elk Grove, CA); Lodi Memorial Hospital Association Inc (NPI 1306855523, Lodi, CA); Amplehealth (NPI 1508899758, Carmichael, CA); Access Physician Inc. (NPI 1730661083, Stockton, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** January 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225184765) · Data from the CMS NPPES public registry.