GAUTAM K VISVESWARAN (M.D.) – Interventional Cardiology Physician, NPI 1528293354

GAUTAM K VISVESWARAN (M.D.) is a healthcare provider. based in Newark, New Jersey. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 25MA09277200 (NJ). The NPI Number for GAUTAM K VISVESWARAN (M.D.) is 1528293354

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
GAUTAM K VISVESWARAN (M.D.)
NPI
1528293354
Phone
(932) 926-7340
Address
201 LYONS AVE
Enumeration Date
22 May 2009
Last Update Date
6 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4385880590
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20151102000898
Address ID
NJ071122027NE201XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

213 INTERVENTIONAL CARDIOLOGY in NJ

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Provider Addresses for GAUTAM K VISVESWARAN (M.D.)

  • Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States

    DIVISION OF CARDIOVASCULAR MEDICINE

    NEWARK, NJ 071122027

    Phone: (932) 926-7340

    Fax: (973) 926-6526

    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)

CMS reports 80 Open Payments records for all available years, with a total value of $3,653.

Total Amount is formed as General ($3,653) + Research ($0) + Ownership ($0) = $3,653.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boston Scientific Corporation ($826).

Total Amount

$3,653

General + Research + Ownership

Payments

80

Total payment records

General Amount

$3,653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2015-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151102000898IInterventional CardiologyNJTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9638$0
99214Established patient office or other outpatient visit, 30-39 minutes8451$0
G0405Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination4343$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3515$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3533$0
View full utilization report →

Insurance plans in this area (ZIP 07112)

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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: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What identifier follows GAUTAM K VISVESWARAN (M.D.) across health systems?
The NPI 1528293354 uniquely identifies GAUTAM K VISVESWARAN (M.D.) in U.S. healthcare data.
Is GAUTAM K VISVESWARAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists GAUTAM K VISVESWARAN (M.D.) as active.
How should patients interpret GAUTAM K VISVESWARAN (M.D.)'s specialty?
The extract shows Interventional Cardiology Physician for GAUTAM K VISVESWARAN (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to GAUTAM K VISVESWARAN (M.D.)?
GAUTAM K VISVESWARAN (M.D.) is associated with Newark, New Jersey in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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