Individual provider Active NPI

Muhammad Golsorkhi, M.D.

  • Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1487630281
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD035963L Issued in PA
Practice address
880 Roscommon Rd
Bryn Mawr, PA 19010-1845
Phone
(610) 527-5212
Fax
(610) 527-5212
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD035963L PA Primary

Addresses

Primary practice location

880 Roscommon Rd
Bryn Mawr, PA 19010-1845

Mailing address

880 Roscommon Rd
Bryn Mawr, PA 19010-1845
Phone (610) 527-5212

Other identifiers 1

IdentifierTypeStateIssuer
0007210270001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G.O. Medical Associates Past Accepting new patients
Delaware Valley Physicians & Surgeons Past Accepting new patients
Excel Medical Center PastSince Feb 17, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1487630281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ROSCOMMON RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101845",
            "telephone_number": "610-527-5212",
            "fax_number": "610-527-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ROSCOMMON RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101845",
            "telephone_number": "610-527-5212",
            "fax_number": "610-527-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSORKHI",
        "first_name": "MUHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD035963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007210270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.