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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted 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

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.

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.

Nurse Practitioner
1551 DOCTORS DR, BUILDING 200
LAGRANGE, GA 30240
Physician Assistant
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Pulmonary Disease)
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Gastroenterology)
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Critical Care Medicine)
1551 DOCTORS DR
LAGRANGE, GA 30240
Nurse Practitioner (Family)
1551 DOCTORS DR
LAGRANGE, GA 30240
Specialist
1551 DOCTORS DR
LAGRANGE, GA 30240
Nurse Practitioner
1551 DOCTORS DR
LAGRANGE, GA 30240

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 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.

Where is Gaurav Dutta located?

Gaurav Dutta practices at 1551 Doctors Dr, Lagrange, GA 30240. The listed phone number is (706) 880-7222.

What is Gaurav Dutta's specialty?

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

Is Gaurav Dutta enrolled in Medicare?

Yes. Gaurav Dutta 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 Gaurav Dutta accept?

Health plans from Alliant Health Plans, Inc. list Gaurav Dutta 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.

Is Gaurav Dutta affiliated with any hospitals?

According to CMS data, Gaurav Dutta is affiliated with Wellstar Spalding Medical Center and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Gaurav Dutta was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.