Pranisha Gautam
Infectious Disease Physician · New Hyde Park, NY
Pranisha Gautam is an infectious disease physician with a practice address in New Hyde Park, New York, and NPI 1841596103, issued on Feb 4, 2011. Check the license (New York 268347, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Pranisha Gautam
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- 268347 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1025 Lakeville RD, New Hyde Park, NY 11040
- Phone
- (917) 723-1546
- Enumerated
- Feb 4, 2011
- Record last updated
- Jun 14, 2023
- Medicare enrollment
- Enrolled (PECOS I20131028001949); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 970 in New York → Look up another NPI →
Verify Pranisha Gautam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 268347Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average infectious disease physician in 2024
19 Medicare Part D claims for 11 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- North Shore-Lij Medical PCForest Hills, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pranisha Gautam among 970 infectious disease physician records in New York
Pranisha Gautam is one of 970 infectious disease physician records with a practice address in New York. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 72% of them.
- NPI issued2011 · 72% of these records are older, 25% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2004 · median 2002 among the 624 with a school on file
- Record last updated2023 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in New York
There are 970 infectious disease physician records in New York.
All 970 in New York → Every provider in New Hyde Park → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Barbara Edwards, MDNew Hyde Park, NY 110401518038603
- Nadia Irshad, M.DNew Hyde Park, NY 110401548530272
- Harika KalangiNew Hyde Park, NY 110401831751288
- Usha Kamath, M.D.New Hyde Park, NY 110401942302096
- Michael Oey, MDNew Hyde Park, NY 110401740573922
- Carol Singer, MDNew Hyde Park, NY 110401801966932
- Miriam Smith, MDNew Hyde Park, NY 110401639240633
- Marilyn Fabbri, M.D.New Hyde Park, NY 110421972527570
Common questions
What is Pranisha Gautam's NPI number?
Pranisha Gautam's National Provider Identifier (NPI) is 1841596103, issued on Feb 4, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Pranisha Gautam located?
The NPPES record lists a practice address at 1025 Lakeville RD, New Hyde Park, NY, 11040. Phone: (917) 723-1546. Providers update this record themselves, so call before visiting.
How can I verify Pranisha Gautam's license?
NPPES lists New York license number 268347, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pranisha Gautam prescribe under Medicare Part D?
In 2024, Pranisha Gautam had 19 Medicare Part D claims for 11 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Pranisha Gautam's MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.