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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: July 19, 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
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Secondary Practice Locations 2

Location 13775 N Lecanto HwyBeverly Hills, FL 34465-3559 · Phone (352) 746-0600
Location 21542 Kingsley Ave Ste 146Orange Park, FL 32073-4547 · Phone (904) 269-2990

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).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

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.

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.

WEST FLORIDA MEDICAL ASSOCIATES P A
Internal Medicine
3775 N LECANTO HWY
BEVERLY HILLS, FL 34465
Citrus County (352) 746-0600
DR. BHADRESH K PATEL M.D.
Internal Medicine
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
MARIELA CARLA MENDIETA PA
Physician Assistant
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
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.

What insurance does Gautam Ganguly accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 with the weekly NPPES data releases published by CMS.