Individual provider Active NPI

Chad Alexis Gunsolly, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1376700781
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS016347 Issued in PA
Practice address
Knights and Red Lion Roads
Philadelphia, PA 19114
Phone
(215) 612-2691
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS016347 PA Primary
Internal Medicine Physician 207R00000X OS016347 PA

Addresses

Primary practice location

Knights and Red Lion Roads
Philadelphia, PA 19114

Mailing address

14 Gladwynne Ter
Moorestown, NJ 08057-3897
Phone (240) 506-1936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000645 PA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7315186863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 671-8900

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016347PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
Aria Health Physicians Services - Emergency Medicine Emergency Medicine CurrentSince Oct 16, 2014 Accepting new patients
Aria Health Physician Services CurrentSince Oct 16, 2014 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jul 9, 2019 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Jefferson Health - Northeast Past Accepting new patients

Locations

2966 Street Rd
Bensalem, PA 19020
Phone (215) 638-0666

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

10800 Knights Rd
Fl 3
Philadelphia, PA 19114
Phone (215) 890-3030

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1376700781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GLADWYNNE TER",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573897",
            "telephone_number": "240-506-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KNIGHTS AND RED LION ROADS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-612-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNSOLLY",
        "first_name": "CHAD",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016347",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.