MR. ILYAS GUTALE (PA-C) – Physician Assistant, NPI 1497993802
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. ILYAS GUTALE (PA-C)
600, Dixie Avenue, Leesburg, Lake County, Florida, 34748, United States
LEESBURG, FL 347485925
Phone: (352) 323-5762
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 14 Medicare enrollment records; no due dates published yet.
Enrollment records
14
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090904000298 | I | Physician Assistant | PA | TBD |
| I20100913001166 | I | Physician Assistant | VA | TBD |
| I20110816000579 | I | Physician Assistant | FL | TBD |
| I20161229001574 | I | Physician Assistant | NV | TBD |
| I20171228002869 | I | Physician Assistant | WA | TBD |
| I20190422001393 | I | Physician Assistant | NC | TBD |
| I20191122001852 | I | Physician Assistant | IL | TBD |
| I20200124001502 | I | Physician Assistant | MA | TBD |
| I20200211002344 | I | Physician Assistant | MN | TBD |
| I20200716003917 | I | Physician Assistant | TX | TBD |
| I20210907000897 | I | Physician Assistant | CA | TBD |
| I20230714000949 | I | Physician Assistant | AZ | TBD |
| I20240416002642 | I | Physician Assistant | NJ | TBD |
| I20240510000826 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 61 | 59 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 52 | 52 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 13 | $0 |
Insurance plans in this area (ZIP 34748)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | VA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Family Practice | PA |
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