Gautam Ganguly

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1448 Issued in FL

Practice address

3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559

Phone

(352) 746-0600

Fax

(352) 746-0607

NPI assigned

Aug 24, 2015

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, FL2 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

Specialty

General Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Medical Associates, PAGroup PAC ID 9032023221, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• West Florida Medical Associates P a

  • Internal Medicine Physician
  • Beverly Hills, FL
  • NPI 1265515001

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713

  Single Specialty

  Medicare reassignment NPD
• West Florida Medical Associates, PA

  dba Comprehensive Primary Care

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1770724130
  NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Hato Rey

  • Emergency Care Clinic/Center
  • Hato Rey, PR
  • NPI 1154537546

  Single Specialty

  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519

  Single Specialty

  NPD
• Lina L Feaster PA

  • Primary Care Clinic/Center
  • St Augustine, FL
  • NPI 1922205251

  Single Specialty

  NPD (past)

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

• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464
  Care Compare affiliation

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1669849824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640573",
            "address_2": "STE 146",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344640573",
            "telephone_number": "352-746-0600",
            "fax_number": "352-746-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653559",
            "telephone_number": "352-746-0600",
            "fax_number": "352-746-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3775 N Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "FL",
            "postal_code": "344653559",
            "country_code": "US",
            "telephone_number": "352-746-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 Kingsley Ave Ste 146",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734547",
            "country_code": "US",
            "telephone_number": "904-269-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGULY",
        "first_name": "GAUTAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019167",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Oxygen and DME Supplies, Inc
• Meghan Fowler Haas
• Stephen Freire
• G & R Investment Group (G and R Community Care)
• Juan Galvan, MD
• Shani Adia Gary, MA
• Stefanie Glover, MA, MS
• Glen Herbert Goldsmith, P.T.A.
• Marilyn Jo Green, P.T.
• Kimberly Griffin, LMT

• General Practice Physician in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.