Mohan Gurubhagavatula, DO

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

OS012602 Issued in PA

Practice address

225 E City Ave Ste 215
Bala Cynwyd, PA 19004-1704

Phone

(610) 664-8200

Fax

(866) 267-4029

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Rheumatology

Education

Kansas City College of Medicine and Surgery, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
• Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• The Arthritis Center, LLC

  • Rheumatology Physician
  • Bala Cynwyd, PA
  • NPI 1992957989
  Medicare reassignment NPD Authorized official

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

• CHH Community Health

  dba Chestnut Hill Hospital - Temple Health

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1437865953
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Prime Healthcare Services Roxborough LLC

  dba Roxborough Memorial Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1467423624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE STE 215",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041704",
            "telephone_number": "610-664-8200",
            "fax_number": "866-267-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE STE 215",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041704",
            "telephone_number": "610-664-8200",
            "fax_number": "866-267-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUBHAGAVATULA",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS012602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "GU1507200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R. Grossman, DPM
• Frayda Grunberger
• Argine Claire Guar, CRNP
• Atul Gupta, MD
• Sanjay Gupta, MD
• Halal Care Home Care Services, LLC.
• Gabriel Halperin-Goldstein, MSW, LSW
• Stacy Golboro Hanak
• Leslie Anne Elizabeth Haney
• Zachary Hankle

• Rheumatology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.