NPIMap

Individual provider Active NPI

Shyam Vijay Gohel, MD

  • Diagnostic Radiology Physician
  • Greensburg, PA
National Provider Identifier
1881688448
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD 060829L Issued in PA
Practice address
717 E Pittsburgh St
Greensburg, PA 15601-2636
Phone
(724) 832-8004
Fax
(724) 837-1870
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD 060829L PA Primary

Addresses

Primary practice location

717 E Pittsburgh St
Greensburg, PA 15601-2636

Mailing address

717 E Pittsburgh St
Greensburg, PA 15601-2636
Phone (724) 832-8004

Other identifiers 3

IdentifierTypeStateIssuer
0016701380002MedicaidPA
0968025OtherPABS
300081156OtherPARR MED

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgohel@excelahealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000798 PA Practitioner - Diagnostic Radiology 0446214969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Consultants, LTDGroup PAC ID 3971498841, 20 clinicians

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone (724) 832-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 060829LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Consultants, LTD Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Radiologic Consultants LTD Diagnostic Radiology Past Accepting new patients
Medical Diagnostic Services, LTD. Diagnostic Radiology PastSince Jun 12, 2020 Accepting new patients
Professional X-Ray Associates Diagnostic Radiology Past Accepting new patients

Locations

1100 Summit Dr
#100
Greensburg, PA 15601
Phone (724) 837-7930

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

717 E Pittsburgh St
Greensburg, PA 15601

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500

Interoperability endpoints

  • Direct secure messaging: sgohel@direct.excelahealth.org

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1881688448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012636",
            "telephone_number": "724-832-8004",
            "fax_number": "724-837-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012636",
            "telephone_number": "724-832-8004",
            "fax_number": "724-837-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "SHYAM",
        "middle_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD 060829L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016701380002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "0968025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED",
            "identifier": "300081156",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgohel@excelahealth.org",
            "affiliation": "N",
            "endpointDescription": "Excela Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "717 E Pittsburgh St",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156012636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.