Kamal Prasad Gautam, MD in Syracuse, NY - Medicare Internal Medicine

Kamal Prasad Gautam, MD is a medicare enrolled "Internal Medicine" physician in Syracuse, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Crouse Medical Practice Pllc and his current practice location is 739 Irving Ave Ste 200, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 479-5070.

Kamal Prasad Gautam is licensed to practice in New York (license number 280518) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992053250.

Contact Information

	Kamal Prasad Gautam, MD
	739 Irving Ave Ste 200, Syracuse, NY 13210-1668
	(315) 479-5070
	Not Available

Map and Direction

Physician's Profile

Full Name	Kamal Prasad Gautam
Gender	Male
Speciality	Internal Medicine
Experience	9 Years
Location	739 Irving Ave Ste 200, Syracuse, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kamal Prasad Gautam graduated from medical school in 2015

NPI Data:

NPI Number: 1992053250
Provider Enumeration Date: 08/16/2012
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5890005557
Enrollment ID: I20151109001095

Medical Identifiers

Medical identifiers for Kamal Prasad Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992053250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	280518 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crouse Hospital	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crouse Medical Practice Pllc	8426189622	142

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kamal Prasad Gautam allows following entities to bill medicare on his behalf.

Entity Name	Ted J Triana Do Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992243687 PECOS PAC ID: 1254424211 Enrollment ID: O20070906000667

Entity Name	Crouse Medical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamal Prasad Gautam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kamal Prasad Gautam, MD 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3433	Kamal Prasad Gautam, MD 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 Ph: (315) 479-5070

Reviews and Comments

Internal Medicine Doctors in Syracuse, NY

Courtney Myers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815
Joan Marie Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827
Saverio J. Barbera, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338
Gordana Obradovic, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211
Kristin A Ramella, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335
Vinodhini M Subramanian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
Robert R. Michiel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338

Kamal Prasad Gautam, MD - Medicare Internal Medicine in Syracuse, NY