NPI Details
Gautami Agastya, MD is an internal medicine in Tracy, CA with 34 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Gautami Agastya, MD NPI is 1356312516. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
652 W 11TH ST
SUITE 137
TRACY, CA
ZIP 95376-869
Phone: (209) 833-7555
Fax: (209) 833-7518
The NPI 1356312516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D1021372 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Ultrasound study of arm and leg arteries (HCPCS:93922)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
- Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual depression screening, 15 minutes (HCPCS:G0444)
The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/5/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207R00000X | Internal Medicine | | C51385 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | G25805 | MEDICARE UPIN | | |
2 | 00C513850 | MEDICAID | CALIFORNIA | |
3 | 00C513850 | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | |