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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GAUTAM ELANGO EDHAYAN MD, MSE
NPI 1629636659
Radiology - Vascular & Interventional Radiology in Gainesville, FL

Active since June 04, 2019PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0291(352) 265-0279 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Apr 29, 2026, Jul 7, 2020 and 2 more (5 updates tracked since 2019).

About Gautam Elango Edhayan Md, Mse NPPES

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

GAUTAM ELANGO EDHAYAN MD, MSE (NPI 1629636659) is an individual vascular & interventional radiology provider in Gainesville, Florida, licensed in Florida (ME181294) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629636659
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameGAUTAM ELANGO EDHAYANCredential: MD, MSE
Location Address1600 SW ARCHER RDGainesville, FL 32610-0374
Mailing AddressPo Box 100374Gainesville, FL 32610-0374 · (352) 265-0291 · Fax (352) 265-0279
Phone(352) 265-0291
Fax(352) 265-0279
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 4, 2019
Last NPPES UpdateJuly 20, 20265 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1629636659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in FL · ME181294
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Gautam Elango Edhayan Md, Mse 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 ID9032442686
PECOS Enrollment IDI20260514004193
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.

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Edhayan's NPI number?

The NPI number for Gautam Edhayan is 1629636659. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Gautam Edhayan located?

Gautam Edhayan practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0291.

What is Gautam Edhayan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Gautam Edhayan enrolled in Medicare?

Yes. Gautam Edhayan 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 Edhayan affiliated with any hospitals?

According to CMS data, Gautam Edhayan is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Gautam Edhayan was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.