Gautam Paul, MD - Medicare Hospitalist in Florence, KY

Gautam Paul, MD is a medicare enrolled "Hospitalist" physician in Florence, Kentucky. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 4900 Houston Rd, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 301-8074.

Gautam Paul is licensed to practice in Kentucky (license number 48312) 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 1629334099.

Contact Information

Gautam Paul, MD
4900 Houston Rd,
Florence, KY 41042-4824
(859) 301-8074
(859) 301-4945

Map and Direction




Physician's Profile

Full NameGautam Paul
GenderMale
SpecialityHospitalist
Experience22 Years
Location4900 Houston Rd, Florence, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gautam Paul graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1629334099
  • Provider Enumeration Date: 04/10/2012
  • Last Update Date: 02/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294046082
  • Enrollment ID: I20150619001843

Medical Identifiers

Medical identifiers for Gautam Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629334099NPI-NPPES
201323420MedicaidIN
0128628MedicaidOH
P01502961OtherKYRR MEDICARE
7100349130MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 48312 (Kentucky)Secondary
208M00000XHospitalist TP284 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208M00000XHospitalist 48312 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth FlorenceFlorence, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital
St Elizabeth EdgewoodEdgewood, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

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. Gautam Paul allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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. Gautam Paul 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 AddressPractice Location Address
Gautam Paul, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 301-8074
Gautam Paul, MD
4900 Houston Rd,
Florence, KY 41042-4824

Ph: (859) 301-8074

Reviews and Comments


Hospitalist Doctors in Florence, KY

David Kleesattel, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-331-6466    Fax: 859-344-7930
Cruff Renard, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-301-8074    Fax: 859-301-4945
Dr. Vivekananda Sharanappa Adike, M.D.,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Houston Rd, Florence, KY 41042
Phone: 859-301-8074    Fax: 859-301-4945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.