Usha M Gopal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33590 Issued in AZ

Practice address

633 E Ray Rd # 128
Gilbert, AZ 85296-4200

Phone

(480) 497-3946

Fax

(480) 497-3947

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Practice roles

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.

• A-Z Primary Care, LLC

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1063442911
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1649295288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD # 128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964200",
            "telephone_number": "480-497-3946",
            "fax_number": "480-497-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD # 128",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964200",
            "telephone_number": "480-497-3946",
            "fax_number": "480-497-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "USHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941858",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Goodman, DMD
• Taylor Goodman
• Amanda Goodrich
• Jamie Goodrich, M.S., B.C.B.A.
• Michelle Renee Goodwill, MC, LAC
• Barry Edmund Gordon, M.D.
• Kyla Gordon
• Lynne Alison Gordon, LM
• Terri Raye Gordon
• Kara Gore, OTR/L

• Internal Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.