Chandrashaker R Gona, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

127754 Issued in NY

Practice address

53 Elizabeth Dr
Lockport, NY 14094

Phone

(716) 434-6093

Fax

(716) 434-2887

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871509455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-434-6093",
            "fax_number": "716-434-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "14094",
            "telephone_number": "716-434-6093",
            "fax_number": "716-434-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONA",
        "first_name": "CHANDRASHAKER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "127754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00620631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Gilmore, D.M.D.
• Eleanor Mae Gleason, PMHNP-BC
• Zach Glowacki
• Paige E Glynn, LCSWR
• Amina Golden-Arabaty
• Rachel Elizabeth Goranites, MS OTR/L
• Rhea Gossling
• Jody Grahn, NP C
• Katrina Grande, RN
• Stacie Grant, N.P.

• Urology Physician in Lockport, NY
• Providers in Lockport, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.