Individual provider Active NPI

Nasrin Golshan, MD

  • Infectious Disease Physician
  • West Chester, PA
National Provider Identifier
1821169236
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD037167L Issued in PA
Practice address
520 Maple Ave
Ste 3
West Chester, PA 19380-4434
Phone
(484) 364-2824
Fax
(610) 350-3099
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD037167L PA Primary

Addresses

Primary practice location

520 Maple Ave
Ste 3
West Chester, PA 19380-4434

Mailing address

520 Maple Ave
Ste 3
West Chester, PA 19380-4434
Phone (484) 364-2824

Other identifiers 1

IdentifierTypeStateIssuer
1005736MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090820000713 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 2860546132 Reassigns benefits to 1 organization
Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Maple Ave
Suite 3
West Chester, PA 19380-4434
Phone (484) 364-2824

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037167LPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Infectious Diseases, LLC Infectious Disease CurrentSince Jan 1, 2013 Accepting new patients
Nasrin Golshan, MD Infectious Disease PastSince Jan 1, 1990 Accepting new patients

Locations

520 Maple Ave
Ste 4
West Chester, PA 19380
Phone (610) 430-8200

520 Maple Ave
Ste 3
West Chester, PA 19380
Phone (484) 364-2824

Organizations & group practices 2

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 1

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1821169236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "STE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "484-364-2824",
            "fax_number": "610-350-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "STE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "484-364-2824",
            "fax_number": "610-350-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSHAN",
        "first_name": "NASRIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD037167L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.