Individual provider Active NPI

Gautam Dhanaraj, MD

  • Internal Medicine Physician
  • Pottstown, PA
National Provider Identifier
1659934776
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD489907 Issued in PA
Practice address
1600 E High St
Pottstown, PA 19464-5008
Phone
(610) 327-7000
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022034377 MO
Internal Medicine Physician 207R00000X MD489907 PA Primary

Addresses

Primary practice location

1600 E High St
Pottstown, PA 19464-5008

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230925001669 NJ Practitioner - Internal Medicine 4385013093 Reassigns benefits to 1 organization
I20250603003767 PA Practitioner - Internal Medicine 4385013093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD489907PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Specialists LTD Sleep Medicine CurrentSince Dec 22, 2025 Accepting new patients
Sai Inpatient Resources, LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Pulmonary Care, PC CurrentSince Dec 13, 2023 Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Jun 28, 2025 Accepting new patients
Hamden Sleep Disorders Center LLC Sleep Medicine Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Sai Inpatient Resources, L.L.C. Internal Medicine Past Accepting new patients
Complete Wound Care LLC PastSince Oct 1, 2025 Accepting new patients

Locations

14 Business Park Dr
Branford, CT 06405
Phone (203) 481-4233

2447 Whitney Ave
Ste 202
Hamden, CT 06518
Phone (203) 288-8300

174 Cherry St
Milford, CT 06460
Phone (203) 301-4349

136 Sherman Ave
Ste 504
New Haven, CT 06511
Phone (203) 684-2111

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2608 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 929-5864

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1659934776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 Keiser Blvd",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103333",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANARAJ",
        "first_name": "GAUTAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022034377",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD489907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.