Pranisha Gautam
NPI 1841596103 · Infectious Disease Physician · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pranisha Gautam is a Infectious Disease Physician provider in New Hyde Park, NY (NPI 1841596103).
Provider details
- NPI number
- 1841596103
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 268347 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,020 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 616 | $89 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 242 | $195 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 109 | $133 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 53 | $148 |
Typical Medicare-allowed amounts for these services range $89–$195 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-04
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is Pranisha Gautam's NPI number?
- Pranisha Gautam's National Provider Identifier (NPI) is 1841596103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pranisha Gautam's specialty?
- Pranisha Gautam is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pranisha Gautam located?
- Pranisha Gautam's practice location on file with NPPES is 1025 Lakeville Rd, New Hyde Park, NY 11040-3041.
- What is Pranisha Gautam's phone number?
- The practice phone number listed in the NPPES registry for Pranisha Gautam is (917) 723-1546.
- Does Pranisha Gautam accept Medicare?
- Pranisha Gautam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pranisha Gautam's NPI active?
- Yes — Pranisha Gautam's NPI (1841596103) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.