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DR. GAUTAM C SURANA MD
NPI 1437144391
Internal Medicine in Elizabeth, NJ

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
520 WESTFIELD AVE, SUITE 305, ELIZABETH, NJ 07208(908) 451-3511 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gautam C Surana Md NPPES

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

DR. GAUTAM C SURANA MD (NPI 1437144391) is an individual internal medicine provider in Elizabeth, New Jersey, licensed in New Jersey (25MA03494800) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1437144391
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GAUTAM C SURANACredential: MD
Location Address520 WESTFIELD AVE, SUITE 305Elizabeth, NJ 07208-1658
Mailing Address520 Westfield Ave, Suite 305Elizabeth, NJ 07208-1658 · (908) 351-4511
Phone(908) 451-3511
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateSeptember 16, 2005
Last NPPES UpdateDecember 28, 2016
✔ NPI 1437144391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA03494800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA03494800 (NJ)
520 WESTFIELD AVE, Elizabeth, NJ 07208
Open in Google Maps ↗

Other Identifiers 3

Medicaid1535200NJ
Medicare ID-Type Unspecified452472NJ
Medicare UPINC55339NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 C Surana 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 ID4284529033
PECOS Enrollment IDI20040219000549
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
286 services41 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.
117 services35 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.
61 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
55 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services29 patients

Hospital Affiliations CMS Care Compare

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

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07208 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.65 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers18 claims20 services$33.44 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 8

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

DR. MANISH S PATEL MD
Internal Medicine
520 WESTFIELD AVE, SUITE 306
ELIZABETH, NJ 07208
Union County (908) 994-1044
MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED
Nurse Practitioner (Psychiatric/Mental Health)
520 WESTFIELD AVE
ELIZABETH, NJ 07208
Union County (908) 466-8484
DEENA INVALID COACH, INC.
Non-emergency Medical Transport (VAN)
520 WESTFIELD AVE, 202A
ELIZABETH, NJ 07208
Union County (908) 353-1989
DR. JORGE A MATOS D.D.S., C.A.G.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
520 WESTFIELD AVE, SUITE 206
ELIZABETH, NJ 07208
Union County (908) 354-4428
DR. FRANK DE PINHO DDS
Dentist (General Practice)
520 WESTFIELD AVE, SUITE 209
ELIZABETH, NJ 07208
Union County (908) 820-4772
EMMANUEL LOPEZ
Driver
520 WESTFIELD AVE
ELIZABETH, NJ 07208
Union County (908) 662-1717
MANISH PATEL MD PC
Internal Medicine
520 WESTFIELD AVE, SUITE 306
ELIZABETH, NJ 07208
Union County (908) 994-1044
MIRACLE INVALID COACH
Secured Medical Transport (VAN)
520 WESTFIELD AVE, SUITE 203
ELIZABETH, NJ 07208
Union County (908) 355-2235

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 Surana's NPI number?

The NPI number for Gautam Surana is 1437144391. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Gautam Surana located?

Gautam Surana practices at 520 Westfield Ave Suite 305, Elizabeth, NJ 07208. The listed phone number is (908) 451-3511.

What is Gautam Surana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gautam Surana enrolled in Medicare?

Yes. Gautam Surana 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.

What insurance does Gautam Surana accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gautam Surana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gautam Surana affiliated with any hospitals?

According to CMS data, Gautam Surana is affiliated with Trinitas Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gautam Surana was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.