Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Asmita Gautam, MD

Individual provider Family Medicine Physician · NPI 1003445966

Asmita Gautam, MD is an Internal Medicine in Syracuse, New York. Qualified in 2020, 6 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 E Genesee St 5th Fl
Syracuse, NY 13210
Phone: (315) 464-2929
Fax: (315) 464-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 337434 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 337434-01 (NY)

Record details

NPI number1003445966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJuly 29, 2025
Certification dateJuly 15, 2025
Mailing address1000 East Genesee St., 5th Floor, Syracuse, NY 13210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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