Individual provider Active NPI

Mayurkumar M Gohel, M.D.

  • Nephrology Physician
  • Annapolis, MD
National Provider Identifier
1245593490
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0079692 Issued in MD
Practice address
116 Defense Hwy Ste 202
Annapolis, MD 21401-7045
Phone
(410) 224-0270
Fax
(410) 224-0273
NPI assigned
Jun 22, 2012
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD040673 DC
Nephrology Physician 207RN0300X D0079692 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 202
Annapolis, MD 21401-7045

Mailing address

15 Spring St
Danville, PA 17821-1623
Phone (914) 414-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20150804004857 MD Practitioner - NephrologyPractitioner - Internal Medicine 4981926631 Reassigns benefits to 1 organization
I20160505000777 DC Practitioner - NephrologyPractitioner - Internal Medicine 4981926631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 202
Annapolis, MD 21401-7045
Phone (410) 224-0270

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

85 Kindred Way
Apt 103
Glen Burnie, MD 21061-5246
Phone (410) 921-1363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040673DCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients

Locations

116 Defense Hwy
Ste 202
Annapolis, MD 21401
Phone (410) 224-0270

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

Interoperability endpoints

  • Direct secure messaging: mgohel17117@direct.acumenmd.com
  • Direct secure messaging: mgohel221988@direct.umm.edu

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1245593490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPRING ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211623",
            "telephone_number": "914-414-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017045",
            "telephone_number": "410-224-0270",
            "fax_number": "410-224-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "MAYURKUMAR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DC",
            "license": "MD040673",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0079692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.