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GAUTAM GANGULY
NPI 1669849824
General Practice in Beverly Hills, FL

Active since August 24, 2015PECOS EnrolledAccepts Medicare Assignment
3775 N LECANTO HWY, BEVERLY HILLS, FL 34465(352) 746-0600(352) 746-0607 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2025, Jul 19, 2022, Jul 15, 2022 (3 updates tracked since 2022).

About Gautam Ganguly NPPES

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

GAUTAM GANGULY (NPI 1669849824) is an individual general practice provider in Beverly Hills, Florida, licensed in Florida (ACN1448) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1669849824
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGAUTAM GANGULY
Location Address3775 N LECANTO HWYBeverly Hills, FL 34465-3559
Mailing AddressPo Box 640573, Ste 146Beverly Hills, FL 34464-0573 · (352) 746-0600 · Fax (352) 746-0607
Phone(352) 746-0600
Fax(352) 746-0607
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 24, 2015
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1669849824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1448✔ Licensed in PR · 019167
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3775 N LECANTO HWY, Beverly Hills, FL 34465
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11542 Kingsley Ave Ste 146Orange Park, FL 32073-4547 · Phone (904) 269-2990
Location 23775 N Lecanto HwyBeverly Hills, FL 34465-3559 · Phone (352) 746-0600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gautam Ganguly 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 ID4688950066
PECOS Enrollment IDI20170419002304, I20220721001788
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gautam Ganguly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Florida Medical Associates P A
1.5 mi
Internal Medicine
3404 C N LECANTO HWY
Beverly Hills, FL 34465
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: West Florida Medical Associates, PA
  • 64 clinicians in this Medicare group
NPI 1265515001 (352) 746-1558
Integrate Community Health System
1,206 mi
Emergency Care
BARRIO CAMASEYES, CARR # 107
Aguadilla, PR 00603
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 52 clinicians in this Medicare group
NPI 1255855201 (787) 296-9778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
85 services35 patients

Other Providers at the Same Location NPPES 6

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

DR. BHADRESH K PATEL M.D.
Internal Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600
MARIELA CARLA MENDIETA PA
Physician Assistant
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600
JENNIFER DELATOLA
Internal Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600
DR. GAURUV BEDI MD
Family Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (405) 271-4311
WEST FLORIDA MEDICAL ASSOCIATES P A
Internal Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600
EVELYN RENTAS MD
Internal Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600

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 Ganguly's NPI number?

The NPI number for Gautam Ganguly is 1669849824. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Gautam Ganguly located?

Gautam Ganguly practices at 3775 N Lecanto Hwy, Beverly Hills, FL 34465. The listed phone number is (352) 746-0600.

What is Gautam Ganguly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gautam Ganguly enrolled in Medicare?

Yes. Gautam Ganguly 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.

Which organizations bill Medicare for Gautam Ganguly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Ganguly reassigns Medicare benefits to 2 organizations: West Florida Medical Associates P A (Beverly Hills, FL) and Integrate Community Health System (Aguadilla, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gautam Ganguly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gautam Ganguly accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Gautam Ganguly 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.

When was this NPI record last updated?

The NPPES record for Gautam Ganguly was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.