Individual provider Active NPI

Raman N Gopalakrishnan, MD

  • Psychiatry Physician
  • West Chester, PA
National Provider Identifier
1982688271
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD420696 Issued in PA
Practice address
1570 McDaniel Dr
West Chester, PA 19380-6672
Phone
(484) 444-2151
NPI assigned
Dec 1, 2005
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD420696 PA Primary

Addresses

Primary practice location

1570 McDaniel Dr
West Chester, PA 19380-6672

Mailing address

1570 McDaniel Dr
West Chester, PA 19380-6672
Phone (484) 444-2151

Other identifiers 1

IdentifierTypeStateIssuer
1000038080MedicaidDE

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
I20080616000743 PA Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 6204868607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riddle Psychiatry, LLCGroup PAC ID 0749448728, 3 clinicians

Practice addresses (Care Compare)

1570 McDaniel Dr
West Chester, PA 19380-6672
Phone (484) 444-2151

215 N Olive St
Suite 101
Media, PA 19063-5136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420696PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riddle Psychiatry, LLC Psychiatry CurrentSince Jan 9, 2012 Accepting new patients

Locations

1088 W Baltimore Pike
Ste 2201
Media, PA 19063
Phone (484) 444-2151

215 N Olive St
Media, PA 19063

215 N Olive St
Ste 101
Media, PA 19063
Phone (484) 444-2151

1570 McDaniel Dr
West Chester, PA 19380
Phone (484) 444-2151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1982688271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806672",
            "telephone_number": "484-444-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806672",
            "telephone_number": "484-444-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "RAMAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD420696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038080",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.