The Arthritis Center, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

OS012602 Issued in PA

Legal business name

THE ARTHRITIS CENTER, LLC

Practice address

301 E City Ave Ste 235
Bala Cynwyd, PA 19004-1710

Phone

(610) 664-8200

Fax

(866) 267-4029

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mohan J Gurubhagavatula, DONPI 1467423624

Title

Owner

Phone

(610) 664-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohan Gurubhagavatula, DO

  • Rheumatology Physician
  • Bala Cynwyd, PA
  • NPI 1467423624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1992957989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE STE 235",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041710",
            "telephone_number": "610-664-8200",
            "fax_number": "866-267-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE STE 235",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041710",
            "telephone_number": "610-664-8200",
            "fax_number": "866-267-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARTHRITIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-09-06",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "GURUBHAGAVATULA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-664-8200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS012602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.