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

GAUTAM T DESAI MD
NPI 1639116742
Internal Medicine - Pulmonary Disease in Randolph, NJ

Q: What is Gautam Desai's NPI number?

The NPI number for Gautam Desai is 1639116742. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Gautam Desai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: Is Gautam Desai enrolled in Medicare?

No. Gautam Desai has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gautam Desai was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.

Active since May 31, 2006Opted out of Medicare · through Apr 1, 2028

447 RT 10, SUITE 2, RANDOLPH, NJ 07869(973) 361-4555(973) 361-6360 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Gautam T Desai Md NPPES

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

GAUTAM T DESAI MD (NPI 1639116742) is an individual pulmonary disease provider in Randolph, New Jersey, licensed in New Jersey (25MA03468300) and active in the NPI registry since May 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639116742

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameGAUTAM T DESAICredential: MD

Location Address447 RT 10, SUITE 2Randolph, NJ 07869

Mailing Address447 Route 10, Suite 2Randolph, NJ 07869 · (973) 361-4555 · Fax (973) 361-6360

Phone(973) 361-4555

Fax(973) 361-6360

Sole ProprietorNo

Enumeration DateMay 31, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1639116742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NJ · 25MA03468300

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA03468300 (NJ)

447 RT 10, Randolph, NJ 07869

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Other Identifiers 1

Medicaid2982803NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gautam T Desai Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 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.

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 Desai's NPI number?

The NPI number for Gautam Desai is 1639116742. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Gautam Desai located?

Gautam Desai practices at 447 Rt 10 Suite 2, Randolph, NJ 07869. The listed phone number is (973) 361-4555.

What is Gautam Desai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gautam Desai enrolled in Medicare?

No. Gautam Desai has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gautam Desai was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.