JAYASWAL GAUTAM
Debarred entityBorn 4 Mar 1959 (67 years old),United States. Named in 6 sanctions listings.
Summary
KMAP Provider Number 100359770F
License number: KS 0427454
State license type / number: MD / MD-34889
Sanctions and listings6
- Effective
- 20 Jan 2026
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 12 Aug 2023
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Terminated under a separate Medicaid enrollment.
- Effective
- 2 Aug 2024
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 IAC 79.2(2)(a)(b)(c)(f)(h)(k)(n)(r)(s)
- Effective
- 10 Aug 2023
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
FELONY GUILTY PLEA
- Listed
- 18 Mar 2026
- Effective
- 28 Feb 2026
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
- Effective
- 20 Jan 2026
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
Positions held1
Period not retained
EMERGENCY MEDICINE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00212273 |
| NPI number | 1477732659 |
Other names2
Also known as2
Addresses2
8315 W 119TH TERRACE, OVERLAND PARK, KS 66213
OVERLAND PARK, KS 66213
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