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

Jeevan Gautam, MD

Individual provider Hospitalist Physician · NPI 1760175954

Jeevan Gautam, MD is a Hospitalist in Kernersville, North Carolina. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone: (336) 564-4866
Fax: (336) 277-6815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 S Caton Ave, Baltimore, MD 21229-4206 — (667) 234-5724

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2026-03002 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2026-03002 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760175954
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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