Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEEVAN GAUTAM MD
NPI 1760175954
Hospitalist in Kernersville, NC

Q: What is Jeevan Gautam's NPI number?

The NPI number for Jeevan Gautam is 1760175954. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Q: What is Jeevan Gautam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeevan Gautam was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.

Active since June 01, 2023PECOS Enrolled

1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 564-4866(336) 277-6815 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Jun 1, 2023 (2 updates tracked since 2023).

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About Jeevan Gautam Md NPPES

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

JEEVAN GAUTAM MD (NPI 1760175954) is an individual hospitalist provider in Kernersville, North Carolina, licensed in North Carolina (2026-03002) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760175954

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJEEVAN GAUTAMCredential: MD

Location Address1750 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7146

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(336) 564-4866

Fax(336) 277-6815

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 1, 2023

Last NPPES UpdateJune 29, 20262 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1760175954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 2026-03002

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2026-03002 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

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Secondary Practice Location 1

Location 1600 S Caton AveBaltimore, MD 21229-4206 · Phone (667) 234-5724 · Fax (667) 234-3525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeevan Gautam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820569197

PECOS Enrollment IDI20260608002123

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NOVANT HEALTH MEDICAL GROUP, LLC

Hospitalist