MR. GAUTAM JAGOO MD NPI 1124092986

NPI Information

  • NPI: 1124092986
  • Provider Name: MR. GAUTAM JAGOO, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 MEDICAL WAY
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 979-0200

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NPI Details

MR. Gautam Jagoo, MD is a diagnostic radiology radiology in Snellville, GA with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Gautam Jagoo, MD NPI is 1124092986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1700 MEDICAL WAY
SNELLVILLE, GA
ZIP 30078-195
Phone: (770) 979-0200

The NPI 1124092986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Insertion of tube into chest or arm artery, initial second order branch (HCPCS:36216)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Insertion of tube into vein, first order branch (HCPCS:36011)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Review by radiologist of major upper body vein image (HCPCS:75827)

The enumeration date for this NPI number is 2/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology05601GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130BDMGTMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2I37734MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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