Active NPI
Rachel G Gross, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1649335803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD433290
- Practice address
- 135 S 19TH St
Suite 310
Philadelphia, PA 19103-4912 - Phone
- (610) 314-0774
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MT186062 | PA | |
| Neurology Physician | 2084N0400X | MD433290 | PA | |
| Psychiatry Physician | 2084P0800X | MD433290 | PA | Primary |
Addresses
Primary practice location
135 S 19TH St
Suite 310
Philadelphia, PA 19103-4912
Mailing address
510 Delancey St
Philadelphia, PA 19106-4106
Phone (215) 806-4296
Other names 1
- Rachel Elisabeth Goldmann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 8, 2017 through Feb 8, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Harvard Medical School, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
330 S 9TH St
Philadelphia, PA 19107-6103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT186062 | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1649335803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 DELANCEY ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064106",
"telephone_number": "215-806-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S 19TH ST",
"address_2": "SUITE 310",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034912",
"telephone_number": "610-314-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "RACHEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MT186062",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD433290",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD433290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "GOLDMANN",
"middle_name": "ELISABETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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; Opt Out Affidavits.
- 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.