Individual provider Active NPI

Chandrasekhar Golla, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1730174368
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038611-L Issued in PA
Practice address
5000 McKnight Rd
Suite 406
Pittsburgh, PA 15237-3420
Phone
(412) 364-0333
Fax
(412) 364-1856
NPI assigned
Sep 20, 2005
Last updated
Apr 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038611-L PA Primary

Addresses

Primary practice location

5000 McKnight Rd
Suite 406
Pittsburgh, PA 15237-3420

Mailing address

5000 McKnight Rd
Suite 406
Pittsburgh, PA 15237-3420
Phone (412) 364-0333

Other identifiers 1

IdentifierTypeStateIssuer
0006812260003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD038611-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chandrasekhar Golla MD Family Medicine PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1730174368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MCKNIGHT RD",
            "address_2": "SUITE 406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373420",
            "telephone_number": "412-364-0333",
            "fax_number": "412-364-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MCKNIGHT RD",
            "address_2": "SUITE 406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373420",
            "telephone_number": "412-364-0333",
            "fax_number": "412-364-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLA",
        "first_name": "CHANDRASEKHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038611-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006812260003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.