NPIMap

Organization Active NPI

Southwest Medical Center, Inc

  • Physician Assistant
  • Bentleyville, PA
National Provider Identifier
1992701106
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002213L Issued in PA
Legal business name
SOUTHWEST MEDICAL CENTER, INC
Practice address
119 Wilson Rd
Bentleyville, PA 15314-1027
Phone
(724) 239-4700
Fax
(724) 239-3262
NPI assigned
Jun 22, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Kamlesh B Gosal, MD
Title
Owner
Phone
(724) 239-4700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD40975E PA
Internal Medicine Physician 207R00000X MD39000L PA
Internal Medicine Physician 207R00000X MD420995 PA
Internal Medicine Physician 207R00000X MD420170 PA
Physician Assistant 363A00000X MA002213L PA Primary

Addresses

Primary practice location

119 Wilson Rd
Bentleyville, PA 15314-1027

Mailing address

119 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-4700

Other identifiers 1

IdentifierTypeStateIssuer
MA051718OtherPAREGINA M HUDAK, PA-C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000689 PA Part B Supplier - Clinic/Group Practice 9335040450 Receives reassigned benefits from 13 practitioners
Practice locations: Bentleyville, PA

National Provider Directory

National Provider Directory

Locations

119 Wilson Rd
Ste 0
Bentleyville, PA 15314

1200 McKean Ave
Ste 104
Charleroi, PA 15022
Phone (724) 483-6600

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992701106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOSAL",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-239-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD40975E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD39000L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD420995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD420170",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002213L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGINA M HUDAK, PA-C",
            "identifier": "MA051718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentleyville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.