NPIMap

Individual provider Active NPI

Amit Harsh Gangoli, MD

  • Infectious Disease Physician
  • King of Prussia, PA
National Provider Identifier
1396732996
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD069250L Issued in PA
Practice address
170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155
Phone
(610) 481-9600
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD069250L PA Primary

Addresses

Primary practice location

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155

Mailing address

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155
Phone (610) 481-9600

Other identifiers 1

IdentifierTypeStateIssuer
1386393OtherHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001013 PA Practitioner - Infectious Disease 2365415619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Infectious Disease Associates, LLCGroup PAC ID 9830293117, 3 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470

170 N Henderson Rd
Suite 310
King of Prussia, PA 19406-2155
Phone (610) 481-9600

2160 State Rd
Lancaster, PA 17601-1812
Phone (223) 287-8222

2200 Hamilton St
Suite 317
Allentown, PA 18104-6378

P O Box
Suite 825972
Philadelphia, PA 19182-5972

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as individual
Quality
69.92
Improvement activities
40
Cost
85.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069250LPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Jan 30, 2023 Accepting new patients
Eastern Pennsylvania Infectious Disease Associates, LLC Infectious Disease CurrentSince Jan 1, 2007 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 30, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Chester County Infectious Diseases Associates, PC Infectious Disease Past Accepting new patients
Healing Path Psychology PastSince Dec 9, 2019 Accepting new patients
Sacred Heart Healthcare System PastSince Jul 7, 2005 Accepting new patients
Sacred Heart Healthcare System PastSince Jul 7, 2005 Accepting new patients

Locations

2200 Hamilton St
Ste 317
Allentown, PA 18104
Phone (610) 481-9600

2200 Hamilton St
Ste 308
Allentown, PA 18104
Phone (610) 320-2366

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 481-9600

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

649 N Lewis Rd
Ste 220
Royersford, PA 19468
Phone (570) 624-4777

Organizations & group practices 8

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 9

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1396732996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-481-9600",
            "fax_number": "610-481-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-481-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGOLI",
        "first_name": "AMIT",
        "middle_name": "HARSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD069250L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1386393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.