Individual provider Active NPI

Usha Gopalani, M.D.

  • Psychiatry Physician
  • Wernersville, PA
National Provider Identifier
1093085334
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD028133E Issued in PA
Practice address
Rte 422 & Sportsman Road
Wernersville, PA 19565
Phone
(610) 670-4100
Fax
(640) 670-4101
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD028133E PA Primary

Addresses

Primary practice location

Rte 422 & Sportsman Road
Wernersville, PA 19565

Mailing address

P.O. Box 300
Wernerville, PA 19565-0300
Phone (610) 670-4100

Other names 1

  • Usha Mahadeo Ganpule Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD028133EPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1093085334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 300",
            "city": "WERNERVILLE",
            "state": "PA",
            "postal_code": "195650300",
            "telephone_number": "610-670-4100",
            "fax_number": "610-670-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RTE 422 & SPORTSMAN ROAD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "19565",
            "telephone_number": "610-670-4100",
            "fax_number": "640-670-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALANI",
        "first_name": "USHA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD028133E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "USHA",
            "last_name": "GANPULE",
            "middle_name": "MAHADEO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wernersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.