M Yasser Gouda, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD066786L Issued in PA

Practice address

9523 Bustleton Ave
Philadelphia, PA 19115-3801

Phone

(267) 428-6454

Fax

(267) 428-6457

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
• Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rehab Diagnostics and Pain Medicine Center, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lansdale, PA
  • NPI 1104211648
  Medicare reassignment NPD
• Rybicki Family Practice, PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1871674044
  NPD (past)
• Sacred Heart Healthcare System

  dba Oakwood Medical Center

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1053373548
  NPD (past)
• Sacred Heart Healthcare System

  dba Sacred Heart Medical Associates

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1376533281
  NPD (past)
• United Therapy Centers, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Feasterville, PA
  • NPI 1033156641
  NPD (past)
• Wyndmoor Rehab Associates P.C.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1447295779
  NPD (past)

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

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Prime Healthcare Services Lower Bucks LLC

  dba Lower Bucks Hospital

  • General Acute Care Hospital
  • Bristol, PA
  • NPI 1528319621
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1831197946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "267-428-6454",
            "fax_number": "267-428-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9523 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "267-428-6454",
            "fax_number": "267-428-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDA",
        "first_name": "M",
        "middle_name": "YASSER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD066786L",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD066786L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001739115000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Bruce Gottlieb, M.D.
• Jusufu Sulaiman Gottor, RN
• Mitchell L. Gottsagen, ED.D.
• Amanda Curry Gottschalk, MD
• Byron Hadley Lutrin Gottschalk, M.D.
• Finola Dorothea McNelis Goudy
• Cecile Gouffrant
• Sherray Desiree Gould-McDonald, R.N.
• Alexander James Gould, PSY.D.
• Bruce Jay Gould, MD

• Interventional Pain Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.
• 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.

Verify at the official NPI Registry.