Jeevan Gautam, MD is a medicare enrolled "Hospitalist" physician in Kernersville, North Carolina. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Hospitalist. His current practice location is
1750 Kernersville Medical Pkwy, Kernersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 564-4866.
Jeevan Gautam is licensed to practice in North Carolina (license number 2026-03002) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1760175954.
Physician's Profile
| Full Name | Jeevan Gautam |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 1750 Kernersville Medical Pkwy, Kernersville, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeevan Gautam graduated from medical school in 2016
NPI Data:
- NPI Number: 1760175954
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 8820569197
- Enrollment ID: I20260608002123
Medical Identifiers
Medical identifiers for Jeevan Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760175954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 2026-03002 (North Carolina) | Primary |
| 207R00000X | Internal Medicine | 2026-03002 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeevan Gautam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jeevan Gautam, MD
Po Box 60447,
Charlotte, NC 28260-0447
Ph: () - | Jeevan Gautam, MD
1750 Kernersville Medical Pkwy,
Kernersville, NC 27284-7146
Ph: (336) 564-4866 |
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