Individual provider Active NPI

Anil Sudhir Gokhale, MD

  • Otolaryngology Physician
  • Lancaster, OH
National Provider Identifier
1740353879
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35079020G Issued in OH
Practice address
3064 Columbus Lancaster Rd NW
Lancaster, OH 43130
Phone
(740) 687-5445
Fax
(740) 687-5699
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35079020 OH
Otolaryngology Physician 207Y00000X 35079020G OH Primary

Addresses

Primary practice location

3064 Columbus Lancaster Rd NW
Lancaster, OH 43130

Mailing address

3064 Columbus Lancaster Rd NW
Lancaster, OH 43130-8126
Phone (740) 687-5445

Other practice location 1

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4272

Other practice location 2

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4272

Other identifiers 2

IdentifierTypeStateIssuer
P00252119OtherOHRAILROAD MEDICARE
2245896MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address agokhale14517@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION
Direct Messaging Address agokhale14517@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20031209000205 OH Practitioner - Otolaryngology 0244136554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pittsburgh School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

3064 Columbus Lancaster Rd NW
Lancaster, OH 43130-8126
Phone (740) 687-5445

75 Hospital Dr
Suite 360
Athens, OH 45701-2867
Phone (740) 566-4660

Hospital & facility affiliations

  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079020OHMDOtolaryngology Physician
35079020GOHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Feb 13, 2009 Accepting new patients
Genesis Medical Group, LLC CurrentSince Mar 18, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 23, 2020 Accepting new patients
Licking Memorial Health Professionals CurrentSince Feb 13, 2009 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 23, 2020 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Genesis Medical Group LLC Otolaryngology CurrentSince Mar 18, 2021 Accepting new patients
A. Gorenstein Enterprises Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

75 Hospital Dr
Ste 260
Athens, OH 45701
Phone (740) 594-8819

75 Hospital Dr
Ste 360
Athens, OH 45701
Phone (740) 566-4660

4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

1950 Mount Saint Marys Dr
Nelsonville, OH 45764
Phone (740) 753-1931

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

88 McMillen Dr
Newark, OH 43055
Phone (220) 564-1898

36 McMillen Dr
Newark, OH 43055
Phone (740) 344-1304

417 Hill Rd N
Ste 701
Pickerington, OH 43147
Phone (614) 834-4364

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2945 Maple Ave
Zanesville, OH 43701
Phone (740) 454-0158

Interoperability endpoints

  • Direct secure messaging: asg@6c7abf0b.micromddirect.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1740353879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 COLUMBUS LANCASTER RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308126",
            "telephone_number": "740-687-5445",
            "fax_number": "740-687-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 COLUMBUS LANCASTER RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-5445",
            "fax_number": "740-687-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 McMillen Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551809",
            "country_code": "US",
            "telephone_number": "220-564-4272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 McMillen Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551809",
            "country_code": "US",
            "telephone_number": "220-564-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOKHALE",
        "first_name": "ANIL",
        "middle_name": "SUDHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35079020",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35079020G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00252119",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2245896",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agokhale14517@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "36 McMillen Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agokhale14517@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "36 McMillen Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.