Bhailal Gokalbhai Gondalia, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

16592 Issued in WV

Practice address

600 18TH St Ste 111
Parkersburg, WV 26101-3236

Phone

(304) 424-4618

Fax

(304) 424-4846

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1568400976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 111",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4618",
            "fax_number": "304-424-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH ST STE 111",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013236",
            "telephone_number": "304-424-4618",
            "fax_number": "304-424-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDALIA",
        "first_name": "BHAILAL",
        "middle_name": "GOKALBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "16592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0693121",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827770",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073853000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "161461800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH WORKERS COMP",
            "identifier": "550708689-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0693122",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kody Goff
• Constance Golden
• Josiah Emanuel Goldsberry, RN
• Ira Goldstien
• Olga Golumbievska
• Good Samaritan Clinic
• Good Shepherd First
• Deshawn Goodman
• Guru A R Gopireddy, MD
• Felicity Gorrell

• Pulmonary Disease Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Pulmonary Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.