Ghodrat P Sholevar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD032346-L Issued in PA

Practice address

618 W Lehigh Ave
Philadelphia, PA 19133

Phone

(215) 229-8857

NPI assigned

Jan 23, 2007

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1962

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Philadelphia Health Action IncGroup PAC ID 9537064977, shared by 12 NPIs, 70 clinicians

Casa de Consejeria Y Salud Integral, Inc.Group PAC ID 0941747281, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casa de Consejeria Y Salud Integral, Inc.

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1972777522
  Medicare reassignment Care Compare group NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Nueva Vida Mental Health Center

  dba Nueva Vida Behavioral Health Care

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1821142118
  Medicare reassignment NPD
• Delco Behavioral Health Clinic PLLC

  • Community/Behavioral Health Agency
  • Swarthmore, PA
  • NPI 1700771342
  Medicare reassignment
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Nueva Vida Mental Health Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1417002320
  NPD
• Asociacion de Puertorriquenos En Marcha, Inc.

  dba APM Mental Health Psychiatric Outpatient Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1003093121
  NPD (past)
• Casa de Consejeria Y Salud Integral, Inc.

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1154008951
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1649324955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RIGHTERS MILL RD",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721315",
            "telephone_number": "610-529-3136",
            "fax_number": "215-291-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19133",
            "telephone_number": "215-229-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191342207",
            "country_code": "US",
            "telephone_number": "215-291-2917",
            "fax_number": "215-291-8069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOLEVAR",
        "first_name": "GHODRAT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD032346-L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD032346-L",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NJ",
            "license": "25MA05805100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE NUMBER",
            "identifier": "1011198830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roslyn P Shoket, M.ED
• Jasmine Shokri
• Emily Sholder, FNP-C
• Ryan Sholes, MD
• Ellen Sholevar, MD
• Jaimie Sholinsky, CRNP
• Tamir Natan Sholklapper, MD
• Ann Sholly, PA-C
• Lana Shomali, AGACNP
• Yimin Shong, MD

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.