Individual provider Active NPI

Dinakar Golla, MD

  • Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1164561379
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD424542 Issued in PA
Practice address
107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2917
Phone
(412) 963-6677
Fax
(412) 963-6868
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040618001080 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Dermatology 4082699673 Reassigns benefits to 1 organization
I20150302002529 WV Practitioner - Plastic and Reconstructive Surgery 4082699673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Dermatology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golla Center for Plastic Surgery, P.C.Group PAC ID 7618000126, 7 clinicians

Practice addresses (Care Compare)

107 Gamma Dr
Pittsburgh, PA 15238-2917

107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2936
Phone (412) 963-6677

25 Heckel Rd
Suite 203
MC Kees Rocks, PA 15136-1651
Phone (412) 963-6677

4314 Old William Penn Hwy
Suite 208
Monroeville, PA 15146-1455
Phone (412) 963-6677

651 Colliers Way
Weirton, WV 26062-5055
Phone (304) 740-5026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue48
Removal of skin lesions47
Removal or shaving of skin growth37
Skin biopsy46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golla Center for Plastic Surgery Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jack Demos, M.D., Inc. Past Accepting new patients

Locations

107 Gamma Dr
Ste 210
Pittsburgh, PA 15238
Phone (412) 596-7081

Organizations & group practices 4

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1164561379",
    "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"
        },
        {
            "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": {
        "last_name": "GOLLA",
        "first_name": "DINAKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD424542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.