Organization Active NPI

Anu Gowda MD LLC

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1073634036
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD060383L Issued in PA
Legal business name
ANU GOWDA MD LLC
Practice address
11618 Frankstown Rd
Pittsburgh, PA 15235-3319
Phone
(412) 731-7170
Fax
(412) 731-7172
NPI assigned
Apr 3, 2007
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Dr. Anuradha Gowda, MDNPI 1164459699
Title
President
Phone
(412) 731-7170

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
Internal Medicine Physician 207R00000X MD060383L PA Primary

Addresses

Primary practice location

11618 Frankstown Rd
Pittsburgh, PA 15235-3319

Mailing address

11618 Frankstown Rd
Pittsburgh, PA 15235-3319
Phone (412) 731-7170

Other identifiers 2

IdentifierTypeStateIssuer
0016217600002MedicaidPA
1375267OtherPABLUE SHIELD PROV#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000369 PA Part B Supplier - Clinic/Group Practice 3173675782 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

11618 Frankstown Rd
Pittsburgh, PA 15235
Phone (412) 371-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1073634036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 FRANKSTOWN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353319",
            "telephone_number": "412-731-7170",
            "fax_number": "412-731-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 FRANKSTOWN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353319",
            "telephone_number": "412-731-7170",
            "fax_number": "412-731-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU GOWDA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-731-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD060383L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016217600002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV#",
            "identifier": "1375267",
            "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 Jun 18, 2009; 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.