NPIMap

Organization Active NPI

Golla Center for Plastic Surgery, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1033422969
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD424542 Issued in PA
Legal business name
GOLLA CENTER FOR PLASTIC SURGERY, P.C.
Practice address
107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2917
Phone
(412) 963-6677
Fax
(412) 963-6868
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Dr. Dinakar Golla, MDNPI 1164561379
Title
Owner
Phone
(412) 963-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X MD424542 PA Primary

Addresses

Primary practice location

107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2917

Mailing address

107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2917
Phone (412) 963-6677

Other identifiers 1

IdentifierTypeStateIssuer
1014932050002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100804001064 PA Part B Supplier - Clinic/Group Practice 7618000126 Receives reassigned benefits from 12 practitioners
Practice locations: MC Kees Rocks, PA; Monroeville, PA; Pittsburgh, PA
O20150302002447 WV Part B Supplier - Clinic/Group Practice 7618000126 Receives reassigned benefits from 7 practitioners
Practice locations: Weirton, WV
O20160817003231 PA DME Supplier - Physician - Plastic and Reconstructive Surgery 7618000126 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

905 Spruce St
Ste 100
Irwin, PA 15642

4314 Old William Penn Hwy
Ste 208
Monroeville, PA 15146

9104 Babcock Blvd
Ste 2120
Pittsburgh, PA 15237
Phone (412) 367-0600

15 Mott St
Harman, WV 26270
Phone (304) 227-4134

601 Colliers Way
Ste 307
Weirton, WV 26062

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1033422969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "address_2": "SUITE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6677",
            "fax_number": "412-963-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "address_2": "SUITE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6677",
            "fax_number": "412-963-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLLA CENTER FOR PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "GOLLA",
        "authorized_official_first_name": "DINAKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-963-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD424542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014932050002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.