Organization Active NPI

Chandrasekhar Golla MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1255507109
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0386611L Issued in PA
Legal business name
CHANDRASEKHAR GOLLA MD
Practice address
9401 McKnight Rd
Suite 302
Pittsburgh, PA 15237-6000
Phone
(412) 364-0333
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Chandrasekhar Golla, MDNPI 1730174368
Title
MD Sole Proprietor
Phone
(412) 364-0333

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD0386611L PA Primary

Addresses

Primary practice location

9401 McKnight Rd
Suite 302
Pittsburgh, PA 15237-6000

Mailing address

9401 McKnight Rd
Suite 302
Pittsburgh, PA 15237-6000
Phone (412) 364-0333

Other identifiers 2

IdentifierTypeStateIssuer
0006812260003MedicaidPA
441726OtherPABLUE SHIELD

Other names 1

  • McKnight Medical Center Other name

National Provider Directory

National Provider Directory

Locations

9401 McKnight Rd
Ste 302
Pittsburgh, PA 15237
Phone (412) 322-2129

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1255507109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD",
            "address_2": "SUITE 302",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-364-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD",
            "address_2": "SUITE 302",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-364-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRASEKHAR GOLLA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GOLLA",
        "authorized_official_first_name": "CHANDRASEKHAR",
        "authorized_official_title_or_position": "MD SOLE PROPRIETOR",
        "authorized_official_telephone_number": "412-364-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD0386611L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006812260003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "441726",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKnight Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 25, 2011; 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.