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GAUTAM DHANARAJ MD
NPI 1659934776
Internal Medicine in Pottstown, PA

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1600 E HIGH ST, POTTSTOWN, PA 19464(610) 327-7000 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Jun 4, 2025, Dec 16, 2022 and 2 more (5 updates tracked since 2019).

About Gautam Dhanaraj Md NPPES

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

GAUTAM DHANARAJ MD (NPI 1659934776) is an individual internal medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD489907) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and maintains a secondary practice location in Wyomissing.

NPPES Registry Identity

NPI1659934776
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAUTAM DHANARAJCredential: MD
Location Address1600 E HIGH STPottstown, PA 19464-5008
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(610) 327-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateNovember 6, 20255 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1659934776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD489907✔ Licensed in MO · 2022034377
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.
1600 E HIGH ST, Pottstown, PA 19464
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Secondary Practice Location 1

Location 12608 Keiser BlvdWyomissing, PA 19610-3333 · Phone (610) 685-5864 · Fax (610) 929-1528

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 Dhanaraj 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 ID4385013093
PECOS Enrollment IDI20231226000965, I20250603003767
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 7

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.

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.
110 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services47 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
66 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 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.
30 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services13 patients

Hospital Affiliations CMS Care Compare

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

POTTSTOWN CLINIC COMPANY LLC
Psychiatry & Neurology (Neurology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7500
ANIL KUMAR BHARDWAJ M.D.
Radiology (Diagnostic Radiology)
1600 E HIGH ST, RADIOLOGY DEPARTMENT
POTTSTOWN, PA 19464
Montgomery County (610) 327-7282
DR. CHARU THAKRAL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7111
MR. JEROME WEBER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
KANICA YASHI
Internal Medicine
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
ANDREW CHINOFSKY CRNP
Nurse Practitioner (Family)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
POTTSTOWN HOSPITAL, LLC
Clinic/Center (Ambulatory Surgical)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
LEE S ZELLEY M.D.
Obstetrics & Gynecology
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000

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 Dhanaraj's NPI number?

The NPI number for Gautam Dhanaraj is 1659934776. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Gautam Dhanaraj located?

Gautam Dhanaraj practices at 1600 E High St, Pottstown, PA 19464. The listed phone number is (610) 327-7000.

What is Gautam Dhanaraj's specialty?

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

Is Gautam Dhanaraj enrolled in Medicare?

Yes. Gautam Dhanaraj 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 Dhanaraj affiliated with any hospitals?

According to CMS data, Gautam Dhanaraj is affiliated with Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Gautam Dhanaraj was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.