Gautam Reddy, M.D.
NPI 1235158585 · Gastroenterology Physician · Valley Stream, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gautam Reddy, M.D. is a Gastroenterology Physician provider in Valley Stream, NY (NPI 1235158585).
Provider details
- NPI number
- 1235158585
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 200237 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
653 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 287 | $150 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 156 | $132 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 66 | $146 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 59 | $190 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 29 | $216 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 379 | 162 |
| Omeprazole | 355 | 150 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 164 | 159 |
| Famotidine | 99 | 43 |
| Linaclotidebrand: Linzess | 67 | 20 |
| Dicyclomine Hcl | 53 | 31 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$10,746 across 131 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gautam Reddy's NPI number?
- Gautam Reddy's National Provider Identifier (NPI) is 1235158585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gautam Reddy's specialty?
- Gautam Reddy is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gautam Reddy located?
- Gautam Reddy's practice location on file with NPPES is 210 E Sunrise Hwy, Valley Stream, NY 11581-1329.
- What is Gautam Reddy's phone number?
- The practice phone number listed in the NPPES registry for Gautam Reddy is (516) 825-8484.
- Does Gautam Reddy accept Medicare?
- Gautam Reddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gautam Reddy's NPI active?
- Yes — Gautam Reddy's NPI (1235158585) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.