Basavana Gouda Bharamana Goudra, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD424212 Issued in PA

Practice address

3400 Spruce St
6 Dulles
Philadelphia, PA 19104-4238

Phone

(215) 349-8310

NPI assigned

Feb 28, 2008

Last updated

Jun 18, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Anesthesiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare of New Jersey, P.C.

  dba Jefferson Community Physicians of New Jersey

  • Cardiovascular Disease Physician
  • Robbinsville, NJ
  • NPI 1649636754

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Methodist Associates in Healthcare, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053355131
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Methodist Associates in Healthcare, Inc

  dba Methodist Anesthesia Practice

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1396731188
  NPD
• Methodist Associates in Healthcare, Inc

  dba Jefferson Community Physicians - Neurosurgery

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1790390813
  NPD
• University of Penn-Medical Group

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1609264720
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Methodist Associates in Healthcare of New Jersey, P.C.

  dba Jefferson Community Physicians - Neurosurgery

  • Neurological Surgery Physician
  • Sewell, NJ
  • NPI 1568078095
  NPD

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

• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1467621987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "6 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-349-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "6 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-349-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARAMANA GOUDRA",
        "first_name": "BASAVANA GOUDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD424212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esha Bhandari
• Sheetal B Bhandari, DO
• Samir Bhandutia, DO
• Rahul Snehal Bhansali, MD
• Aditi Bhanushali
• Komal Bharath, MD
• Aashish Bhardwaj, MD
• Akanksha Bhardwaj, DO
• Karun Bhardwaj
• Neha Bhardwaj

• Anesthesiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.