MR. GAUTAM D DESAI MD
NPI 1417047663
Family Medicine in Virginia Beach, VA

Q: What is Gautam Desai's NPI number?

The NPI number for Gautam Desai is 1417047663. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Gautam Desai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gautam Desai was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2006PECOS Enrolled

2020 S INDEPENDENCE BLVD, SUITE #3, VIRGINIA BEACH, VA 23453(757) 471-6977(757) 471-5300 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Gautam D Desai Md NPPES

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

MR. GAUTAM D DESAI MD (NPI 1417047663) is an individual family medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101045379) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417047663

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. GAUTAM D DESAICredential: MD

Location Address2020 S INDEPENDENCE BLVD, SUITE #3Virginia Beach, VA 23453

Mailing Address2020 S Independence Blvd, Suite #3Virginia Beach, VA 23453 · (757) 471-6977 · Fax (757) 471-5300

Phone(757) 471-6977

Fax(757) 471-5300

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJune 24, 2010

✔ NPI 1417047663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101045379

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2020 S INDEPENDENCE BLVD, Virginia Beach, VA 23453

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Other Identifiers 5

Medicaid005628881VA

Other332419Blue Cross/blue Shield

Medicare UPINE18741

Medicare ID-Type Unspecified080006342

Other080100260Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gautam D Desai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23453 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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