Individual provider Active NPI

Chintamani Bhaskar Gokhale, M.D.

  • Gastroenterology Physician
  • Hanover, PA
National Provider Identifier
1477521623
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD037788L Issued in PA
Practice address
310 Stock St Ste 83
Hanover, PA 17331-2276
Phone
(717) 316-3030
Fax
(717) 316-1617
NPI assigned
Mar 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 46227 MA
Gastroenterology Physician 207RG0100X MD037788L PA Primary

Addresses

Primary practice location

310 Stock St Ste 83
Hanover, PA 17331-2276

Mailing address

310 Stock St Ste 83
Hanover, PA 17331-2276
Phone (717) 316-3030

Other practice location 1

214 Main St
Malden, MA 02148-6907
Phone (781) 388-9228

Other practice location 2

2690 Southfield Dr Ste A
York, PA 17403-4510
Phone (717) 741-1414

Other identifiers 4

IdentifierTypeStateIssuer
30333OtherMAHARVARD-PILGRIM HEALTHCAR
706375OtherMATUFTS HEALTH PLAN-INDIVIS
0129445MedicaidMA
103770180MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgokhale175116@phsdirect.pinnaclehealth.org

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
I20200909000573 PA Practitioner - Internal Medicine 1456382233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46227MAMDGastroenterology Physician
MD037788LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Medical Services Gastroenterology CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

310 Stock St
Ste 83
Hanover, PA 17331
Phone (717) 316-3030

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2690 Southfield Dr
York, PA 17403
Phone (717) 741-1414

2690 Southfield Dr
#A
York, PA 17403
Phone (717) 741-1414

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1477521623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STOCK ST STE 83",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-316-3030",
            "fax_number": "717-316-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STOCK ST STE 83",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-316-3030",
            "fax_number": "717-316-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Main St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486907",
            "country_code": "US",
            "telephone_number": "781-388-9228",
            "fax_number": "781-388-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2690 Southfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034510",
            "country_code": "US",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOKHALE",
        "first_name": "CHINTAMANI",
        "middle_name": "BHASKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-12",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "46227",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD037788L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD-PILGRIM HEALTHCAR",
            "identifier": "30333",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN-INDIVIS",
            "identifier": "706375",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129445",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103770180",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgokhale175116@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2690 Southfield Dr Ste A",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174034510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.