Individual provider Active NPI

Pushpa Gopal, M.D.

  • Internal Medicine Physician
  • North Andover, MA
National Provider Identifier
1023012804
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
152035 Issued in MA
Practice address
238 Sutton St
North Andover, MA 01845-1631
Phone
(978) 327-5039
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 152035 MA Primary

Addresses

Primary practice location

238 Sutton St
North Andover, MA 01845-1631

Mailing address

238 Sutton St
North Andover, MA 01845-1631
Phone (978) 327-5039

Other identifiers 4

IdentifierTypeStateIssuer
J27586OtherMABLUE CROSS BLUE SHIELD
466502OtherMATUFTS HEALTH PLAN
2095611MedicaidMA
AA53435OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001421 MA Practitioner - Internal Medicine 9335110881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients
Northshore Medical and Rehab LLC CurrentSince Aug 18, 2010 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Southern New Hampshire Internal Medicine Associates, PLLC Past Accepting new patients
Papaiah Gopal PastSince Aug 18, 2010 Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Valley Regional Medical Services Past Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

785 Main St
Concord, MA 01742
Phone (978) 369-6889

145 Ward Hill Ave
Haverhill, MA 01835
Phone (978) 258-4734

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1023012804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451631",
            "telephone_number": "978-327-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451631",
            "telephone_number": "978-327-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "PUSHPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "152035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J27586",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "466502",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095611",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA53435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.