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

Vivek Gautam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245853555

Vivek Gautam is a Family Practice in Allentown, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1101 S Cedar Crest Blvd
Allentown, PA 18103-7902
Phone: (610) 261-1123
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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 MD488085 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245853555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address2100 Mack Blvd Fl 4, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Allentown