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DR. GAUTAM M. REDDY M.D.
NPI 1235158585
Internal Medicine - Gastroenterology in Valley Stream, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
210 E SUNRISE HWY, STE. 304, VALLEY STREAM, NY 11581(516) 825-8484(516) 825-8491 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gautam M. Reddy M.d. NPPES

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

DR. GAUTAM M. REDDY M.D. (NPI 1235158585) is an individual gastroenterology provider in Valley Stream, New York, licensed in New York (200237) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1235158585
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GAUTAM M. REDDYCredential: M.D.
Location Address210 E SUNRISE HWY, STE. 304Valley Stream, NY 11581-1329
Mailing Address210 E Sunrise Hwy, Ste. 304Valley Stream, NY 11581-1329 · (516) 825-8484 · Fax (516) 825-8491
Phone(516) 825-8484
Fax(516) 825-8491
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235158585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 200237
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
210 E SUNRISE HWY, Valley Stream, NY 11581
Open in Google Maps ↗

Other Identifiers 3

Medicaid01918863NY
Medicare ID-Type UnspecifiedWX1001NY
Medicare UPING72253NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gautam M. Reddy 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 ID749356640
PECOS Enrollment IDI20111018000002
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.

Areas of Expertise CMS Part B claims 8

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.

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.
287 services232 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
156 services156 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services64 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
59 services59 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
29 services29 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11581 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.02 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY S RIEDERS M.D.
Internal Medicine (Gastroenterology)
210 E SUNRISE HWY, STE 304
VALLEY STREAM, NY 11581
Nassau County (516) 825-8484
ADEPT PHYSICAL THERAPY, P.C.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
210 E SUNRISE HWY, SUITE 101
VALLEY STREAM, NY 11581
Nassau County (718) 529-4384
MR. WILBERT CUBILLAN PT
Physical Therapist
210 E SUNRISE HWY, SUITE 101
VALLEY STREAM, NY 11581
Nassau County (516) 596-2273
DR. IRA KLONSKY M.D.
Surgery
210 E SUNRISE HWY, SUITE 303
VALLEY STREAM, NY 11581
Nassau County (516) 568-9119
SUPERIOR WELLNESS OF NEW YORK PHYSICAL THERAPY
Physical Therapist
210 E SUNRISE HWY, SUITE 101
VALLEY STREAM, NY 11581
Nassau County (516) 596-2273
DR. LAWRENCE MARC COHEN DPM
Podiatrist (Primary Podiatric Medicine)
210 E SUNRISE HWY, SUITE 303
VALLEY STREAM, NY 11581
Nassau County (516) 561-2102
GASTROCARE, LI PC
Internal Medicine (Gastroenterology)
210 E SUNRISE HWY, SUITE 304
VALLEY STREAM, NY 11581
Nassau County (516) 825-8484
ALEKSEY MILIN
Acupuncturist
210 E SUNRISE HWY, SUITE 101
VALLEY STREAM, NY 11581
Nassau County (516) 341-7706

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 Reddy's NPI number?

The NPI number for Gautam Reddy is 1235158585. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Gautam Reddy located?

Gautam Reddy practices at 210 E Sunrise Hwy Ste. 304, Valley Stream, NY 11581. The listed phone number is (516) 825-8484.

What is Gautam Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gautam Reddy enrolled in Medicare?

Yes. Gautam Reddy 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.

Is Gautam Reddy affiliated with any hospitals?

According to CMS data, Gautam Reddy is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Gautam Reddy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.