GAURAV DUTTA M.D.
NPI 1891026126
Internal Medicine - Pulmonary Disease in Lagrange, GA

Q: What is Gaurav Dutta's NPI number?

The NPI number for Gaurav Dutta is 1891026126. It was assigned to this individual provider in the NPPES registry on January 27, 2010.

Q: What is Gaurav Dutta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gaurav Dutta was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 January 27, 2010PECOS EnrolledAccepts Medicare Assignment

1551 DOCTORS DR, LAGRANGE, GA 30240(706) 880-7222(706) 880-7223 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Oct 11, 2022 (2 updates tracked since 2022).

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About Gaurav Dutta M.d. NPPES

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

GAURAV DUTTA M.D. (NPI 1891026126) is an individual pulmonary disease provider in Lagrange, Georgia, licensed in Georgia (92087) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1891026126

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameGAURAV DUTTACredential: M.D.

Location Address1551 DOCTORS DRLagrange, GA 30240-4139

Mailing Address1551 Doctors DrLagrange, GA 30240-4139 · (706) 880-7222 · Fax (706) 880-7223

Phone(706) 880-7222

Fax(706) 880-7223

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 27, 2010

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1891026126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in GA · 92087✔ Licensed in MS · 24420

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.

1551 DOCTORS DR, Lagrange, GA 30240

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Secondary Practice Location 1

Location 1605 Leigh Dr Apt H80Columbus, MS 39705-3366 · Phone (917) 808-1282

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Gaurav Dutta M.d. 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 ID9436315199

PECOS Enrollment IDI20221109001224

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

Medicare enrollment records show Gaurav Dutta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Georgia LLC

30 mi

Internal Medicine

600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
448 clinicians in this Medicare group

NPI 1447520333 (847) 746-4333

Wellstar Medical Group, LLC

52 mi

Surgery

4904 TIMBER RIDGE DR, SUITE 104
Douglasville, GA 30135

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1164715132 (770) 942-4822

Sound Physicians Intensivists Of Georgia PC

80 mi

Critical Care Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
89 clinicians in this Medicare group

NPI 1376159590 (478) 757-8200

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

28 services15 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.

24 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110031

Location601 South 8th StreetGriffin, GA 30224 · Spalding County

Emergency services Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110233

Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers41 claims99 services$2.03 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

3 suppliers25 claims34 services$1.49 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers135 claims138 services$20.07 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers30 claims30 services$777.23 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers126 claims126 services$7.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers283 claims287 services$112.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

MARIA ANN DANIEL NP

Nurse Practitioner

1551 DOCTORS DR, BUILDING 200
LAGRANGE, GA 30240

Troup County (706) 884-2641

ALEX K HARRIS PHD, PA-S

Physician Assistant