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DR. ABHISHEK GAUR MD
NPI 1336191402
Internal Medicine - Cardiovascular Disease in Gainesville, GA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501(770) 534-2020(770) 534-8025 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2020, Oct 6, 2020, Mar 3, 2020 (3 updates tracked since 2020).

About Dr. Abhishek Gaur Md NPPES

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

DR. ABHISHEK GAUR MD (NPI 1336191402) is an individual cardiovascular disease provider in Gainesville, Georgia, licensed in Georgia (052174) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1336191402
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ABHISHEK GAURCredential: MD
Location Address200 S ENOTA DR NE STE 100Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 534-2020
Fax(770) 534-8025
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1336191402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in GA · 052174✔ Licensed in VA · 0101270350
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
200 S ENOTA DR NE STE 100, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 Gresham DrNorfolk, VA 23507-1904 · Phone (757) 388-8870 · Fax (757) 388-8871

Other Identifiers 1

Medicaid897132121GA

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

Dr. Abhishek Gaur 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.

PECOS PAC ID2769400621
PECOS Enrollment IDI20051109000435
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

5

Medicare enrollment records show Abhishek Gaur reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Heart Institute LLC
Same address
Cardiovascular Disease
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1477976520 (770) 534-2020
Northeast Georgia Medical Center, Inc.
0.1 mi
General Acute Care Hospital
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
NPI 1427055821 (770) 219-9000
North Atlanta Professional Services LLC
41 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
The Southeast Permanente Medical Group
45 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Sentara Medical Group
463 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

DR. NITYA S CHANDRA MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
HEATHER MICHELLE TILLERY FNP
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
SARA DIOSDADO PA
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 219-0950
CHARYL HERMANN AGNP-C
Nurse Practitioner (Adult Health)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
KELLY RENEE KARSON FNP-C
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 219-9000
REBECCA LEILANI VAUGHN PA
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
JAIME BURKLE MD
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
EDWIN GWIRA-TAMATTEY MD
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 219-9675

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 Abhishek Gaur's NPI number?

The NPI number for Abhishek Gaur is 1336191402. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Abhishek Gaur located?

Abhishek Gaur practices at 200 S Enota Dr NE Ste 100, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is Abhishek Gaur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Abhishek Gaur enrolled in Medicare?

Yes. Abhishek Gaur 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 Abhishek Gaur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhishek Gaur reassigns Medicare benefits to 5 organizations: Georgia Heart Institute LLC (Gainesville, GA), Northeast Georgia Medical Center, Inc. (Gainesville, GA), North Atlanta Professional Services LLC (Atlanta, GA), The Southeast Permanente Medical Group (Atlanta, GA) and Sentara Medical Group (Norfolk, VA). 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 Abhishek Gaur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abhishek Gaur affiliated with any hospitals?

According to CMS data, Abhishek Gaur is affiliated with Emory Decatur Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Abhishek Gaur was last updated on December 29, 2020. 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.