DR. GAUTHAM KANAGARAJ (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1316207624

DR. GAUTHAM KANAGARAJ (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-18039 (HI). The NPI Number for DR. GAUTHAM KANAGARAJ (M.D.) is 1316207624

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAUTHAM KANAGARAJ (M.D.)
NPI
1316207624
Phone
(808) 691-8512
Address
550 S Beretania St Ste 610
Enumeration Date
21 May 2012
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705342020
Graduation Year
2012 (14 years ago)
PAC ID
5698190171
Group Practice PAC ID
4183848062
Professional Enrollment ID
I20250411000265
Address ID
GA305013473GA200XXNEXX505
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:14State licenses:3Digital endpointsOther names

9 CARDIAC ELECTROPHYSIOLOGY in HI

Provider Addresses for DR. GAUTHAM KANAGARAJ (M.D.)

  • 550 S Beretania St Ste 610

    Honolulu, HI 968132496

    Phone: (808) 691-8512

    Type: Location

  • 13127 Vail Ridge Dr

    Riverview, FL 335797196

    Phone: (813) 661-6199

    Fax: (813) 661-6334

    Type: Location

  • 550 S BERETANIA ST STE 610

    HONOLULU, HI 968132496

    Phone: (808) 691-8512

    Type: Mailing

  • PO BOX 1060

    OAKWOOD, GA 305660018

    Phone:

    Type: Mailing

  • 200 S ENOTA DR NE STE 480

    GAINESVILLE, GA 305013473

    Phone: (770) 219-0950

    Fax: (770) 534-8025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $2,038.

Total Amount is formed as General ($2,038) + Research ($0) + Ownership ($0) = $2,038.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Abbott Laboratories ($1,100).

Total Amount

$2,038

General + Research + Ownership

Payments

41

Total payment records

General Amount

$2,038

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240806004784ICardiac ElectrophysiologyFLTBD
I20250411000265ICardiac ElectrophysiologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes18895$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8659$0
99205New patient office or other outpatient visit, 60-74 minutes6464$0
93279Programming of single lead pacemaker system3015$0
93280Programming of dual lead pacemaker system3021$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183848062View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
-GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
Cardiac ElectrophysiologyGA
Cardiovascular Disease (Cardiology)GA
Physician AssistantGA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Where can patients find DR. GAUTHAM KANAGARAJ (M.D.)'s NPI?
You can confirm DR. GAUTHAM KANAGARAJ (M.D.) with NPI 1316207624; it appears in the national provider directory.
Does this profile mean DR. GAUTHAM KANAGARAJ (M.D.) is currently active?
Yes — DR. GAUTHAM KANAGARAJ (M.D.) appears active in the national provider directory.
Does DR. GAUTHAM KANAGARAJ (M.D.) list a primary specialty?
If you are matching referrals, note Clinical Cardiac Electrophysiology Physician for DR. GAUTHAM KANAGARAJ (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. GAUTHAM KANAGARAJ (M.D.)?
We surface Honolulu, Hawaii for DR. GAUTHAM KANAGARAJ (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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