Individual provider Active NPI

Shivam Gulhar, MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1750964649
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD488494 Issued in PA
Practice address
3400 Civic Center Blvd
West Pavilion, 3Rd Floor
Philadelphia, PA 19104-5127
Phone
(215) 614-4100
Fax
(215) 615-0527
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD488494 PA Primary
Ophthalmology Physician 207W00000X 0101289275 VA

Addresses

Primary practice location

3400 Civic Center Blvd
West Pavilion, 3Rd Floor
Philadelphia, PA 19104-5127

Mailing address

51 N 39TH St Ste 603
Philadelphia, PA 19104-2689
Phone (215) 614-4100

Other practice location 1

3855 Gaskins Rd
Henrico, VA 23233-1441
Phone (804) 217-6363

Other practice location 2

648 Southpark Blvd Ste B
Colonial Heights, VA 23834-3632
Phone (804) 217-6363

Other practice location 3

51 N 39th St
Philadelphia, PA 19104-2689
Phone (215) 662-8100

Other practice location 4

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (215) 823-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250527000871 PA Practitioner - Ophthalmology 3375947831 Reassigns benefits to 1 organization
I20260601002465 VA Practitioner - Ophthalmology 3375947831

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 614-4100

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488494PAMDOphthalmology Physician
0101289275VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Virginia Eye Consultants Inc Ophthalmology CurrentSince Jul 1, 2026 Accepting new patients
Commonwealth Eye Care Associates PC Ophthalmology CurrentSince Jul 1, 2026 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

3400 Civic Center Blvd
#3W
Philadelphia, PA 19104
Phone (215) 615-0063

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

648 Southpark Blvd
Ste B
Colonial Heights, VA 23834

3855 Gaskins Rd
Richmond, VA 23233
Phone (804) 290-4278

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 3

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1750964649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST STE 603",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042689",
            "telephone_number": "215-614-4100",
            "fax_number": "215-615-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "WEST PAVILION, 3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-614-4100",
            "fax_number": "215-615-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Gaskins Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331441",
            "country_code": "US",
            "telephone_number": "804-217-6363",
            "fax_number": "804-217-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Southpark Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238343632",
            "country_code": "US",
            "telephone_number": "804-217-6363",
            "fax_number": "804-217-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042689",
            "country_code": "US",
            "telephone_number": "215-662-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044551",
            "country_code": "US",
            "telephone_number": "215-823-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULHAR",
        "first_name": "SHIVAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD488494",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101289275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.