PRABESH GAUTAM MD
NPI 1366115685
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since August 01, 2021
11100 EUCLID AVE, CLEVELAND, OH 44106(917) 365-9820 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prabesh Gautam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRABESH GAUTAM MD (NPI 1366115685) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57.251164) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1366115685
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePRABESH GAUTAMCredential: MD
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address33589 Hanover Woods TrlSolon, OH 44139-4476 · (917) 365-9820
Sole ProprietorNo
Enumeration DateAugust 1, 2021
Last NPPES UpdateMarch 29, 2026
NPPES CertifiedMarch 29, 2026
NPI 1366115685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in OH · 57.251164
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 35.152286 (OH)
11100 EUCLID AVE, Cleveland, OH 44106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prabesh Gautam's NPI number?

The NPI number for Prabesh Gautam is 1366115685. It was assigned to this individual provider in the NPPES registry on August 1, 2021.

Where is Prabesh Gautam located?

Prabesh Gautam practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (917) 365-9820.

What is Prabesh Gautam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Prabesh Gautam was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.