Sudhir Gosain

Primary specialty

SpecialistTaxonomy code 174400000X

License

35066798 Issued in OH

Practice address

25101 Detroit Rd Ste 450
Westlake, OH 44145-2584

Phone

(440) 899-7641

Fax

(440) 899-7931

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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 IL

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

State licenses

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.

• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  Medicare reassignment NPD
• Geauga Sleep Center

  • Specialist
  • Chardon, OH
  • NPI 1932288214
  NPD (past)
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1891709226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 DETROIT RD STE 450",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452584",
            "telephone_number": "440-899-7641",
            "fax_number": "440-899-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 DETROIT RD STE 450",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452584",
            "telephone_number": "440-899-7641",
            "fax_number": "440-899-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSAIN",
        "first_name": "SUDHIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35066798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972907",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janetta Good, RBT
• Sara Elizabeth Goodwin, BA
• Elizabeth Gootee
• McKenzie Gordon, CT
• Tiara Gore, RBT
• Peter T Gotsis, D.O.
• Ellen R Graber, MD
• Graceful Living LLC
• Kathleen T Grady, M.D.
• Macie Graham, RBT

• Specialist in Westlake, OH
• Providers in Westlake, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.