Active NPI
Southwest Medical Center-Radiology
- Internal Medicine Physician
- Bentleyville, PA
National Provider Identifier
1548279557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD017650E
- Legal business name
- SOUTHWEST MEDICAL CENTER-RADIOLOGY
- Practice address
- 119 Wilson Rd
Bentleyville, PA 15314-1027 - Phone
- (724) 239-4700
- Fax
- (724) 239-3262
- NPI assigned
- Aug 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamlesh B Gosai, MD
- Title
- Owner/Ceo
- Phone
- (724) 239-4700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD017650E | PA | Primary |
Addresses
Primary practice location
119 Wilson Rd
Bentleyville, PA 15314-1027
Mailing address
119 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD043417 | Other | PA | LICENSE |
| MD017650E | Other | PA | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Southwest Medical Center-Cardiology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Bentleyville, PA
- NPI 1386658045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bentleyville, PA
- NPI 1033115241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548279557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WILSON RD",
"city": "BENTLEYVILLE",
"state": "PA",
"postal_code": "153141027",
"telephone_number": "724-239-4700",
"fax_number": "724-239-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WILSON RD",
"city": "BENTLEYVILLE",
"state": "PA",
"postal_code": "153141027",
"telephone_number": "724-239-4700",
"fax_number": "724-239-3262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST MEDICAL CENTER-RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOSAI",
"authorized_official_first_name": "KAMLESH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "724-239-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD017650E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD043417",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD017650E",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bentleyville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.