Prabesh Gautam, MD - Student in an Organized Health Care Education/Training Program in Cleveland, OH

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Prabesh Gautam, MD is a Student In An Organized Health Care Education/training Program physician based in Cleveland, Ohio. Prabesh Gautam is licensed to practice in Ohio (license number 57.251164) and his current practice location is 11100 Euclid Ave, Cleveland, Ohio. He can be reached at his office (for appointments etc.) via phone at (917) 365-9820.

NPI number for Prabesh Gautam is 1366115685 and his current mailing address is 33589 Hanover Woods Trl, Solon, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366115685.

Contact Information

Prabesh Gautam, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716
(917) 365-9820
Not Available

Map and Direction




Physician's Profile

Full NamePrabesh Gautam
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366115685
  • Provider Enumeration Date: 08/01/2021
  • Last Update Date: 03/29/2026

Medical Identifiers

Medical identifiers for Prabesh Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366115685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 35.152286 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program 57.251164 (Ohio)Primary

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. Prabesh Gautam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prabesh Gautam, MD
33589 Hanover Woods Trl,
Solon, OH 44139-4476

Ph: (917) 365-9820		Prabesh Gautam, MD
11100 Euclid Ave,
Cleveland, OH 44106-1716

Ph: (917) 365-9820

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.