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

GAUTAM DUA
NPI 1871116699
Radiology - Diagnostic Radiology in North Chicago, IL

Q: What is Gautam Dua's NPI number?

The NPI number for Gautam Dua is 1871116699. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Gautam Dua's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Gautam Dua was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 27, 2020PECOS Enrolled

3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 578-3000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, May 27, 2020 (2 updates tracked since 2020).

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About Gautam Dua NPPES

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

GAUTAM DUA (NPI 1871116699) is an individual diagnostic radiology provider in North Chicago, Illinois, licensed in Georgia (114463) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871116699

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGAUTAM DUA

Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037

Mailing Address1615 Orange Ave Apt 217Redlands, CA 92373-4361 · (714) 392-9821

Phone(847) 578-3000

Sole ProprietorYes

Enumeration DateMay 27, 2020

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1871116699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in GA · 114463

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3333 GREEN BAY RD, North Chicago, IL 60064

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gautam Dua is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

ANATOLIY PYSLAR

Psychiatry & Neurology (Psychiatry)