Mohan J Gurubhagavatula (NPI# 1467423624, PAC ID# 9638238470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1467423624 |
| PAC ID by PECOS | 9638238470 |
| Professional Enrollment ID | I20081107000288 |
| Full Name | Mohan J Gurubhagavatula |
| Address |
301 E City Ave Suite 235 Bala Cynwyd PA 19004-1710 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1998 |
| Primary Specialty | RHEUMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390026 | CHESTNUT HILL HOSPITAL |
| 390304 | ROXBOROUGH MEMORIAL HOSPITAL |
| 390142 | ALBERT EINSTEIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 E City Ave, Suite 235, Bala Cynwyd, PA 19004-1710 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_177_overall | Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity | 100% | |
| MIPS_EC_178_overall | Rheumatoid Arthritis (RA): Functional Status Assessment | 100% | |
| MIPS_EC_179_overall | Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis | 100% | |
| MIPS_EC_180_overall | Rheumatoid Arthritis (RA): Glucocorticoid Management | 100% |
| Street Address |
301 E CITY AVE SUITE 235 |
| City | BALA CYNWYD |
| State | PA |
| Zip | 19004-1710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory C Bolton Sr. | Obstetrics/gynecology | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| Tamara B Fedec | Family Medicine | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| Megan V Daley | Family Medicine | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| George A Belecanech | Allergy/immunology | Allergic Disease Associates PC | 301 E City Ave, Suite 140, Bala Cynwyd, PA 19004-1714 |
| Simon R Russin | Ophthalmology | 301 E City Ave, G2, Bala Cynwyd, PA 19004-1707 | |
| Ali R Kadkhoda | Family Medicine | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| Joseph S Kenney | Cardiovascular Disease (cardiology) | 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004-1738 | |
| Bruce I Hoffman | Rheumatology | Arthritis Group PC | 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004-1738 |
| Richard M Watson | Family Medicine | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| David F Larosa | Allergy/immunology | Allergic Disease Associates PC | 301 E City Ave, Suite 140, Bala Cynwyd, PA 19004-1714 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John U Doherty | Cardiovascular Disease (cardiology) | Jefferson University Physicians | 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004 |
| Marc A Tecce | Cardiovascular Disease (cardiology) | Jefferson University Physicians | 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004 |
| Pooja Singh | Nephrology | Jefferson University Physicians | 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004 |
| Ira S Cohen | Cardiovascular Disease (cardiology) | Jefferson University Physicians | 401 City Line Ave, 5th Flr Suite 525, Bala Cynwyd, PA 19004 |
| Wieslaw K Prokop | Anesthesiology | 15 N Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1000 | |
| Ronald K Ebert | Psychologist, Clinical | 15 Presidential Blvd, Suite 101, Bala Cynwyd, PA 19004-1000 | |
| Nicos Nicolaou | Radiation Oncology | Centers for Advanced Urology LLC | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 |
| Samuel J Manfrey | Urology | Centers for Advanced Urology LLC | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 |
| Laurence H Belkoff | Urology | Centers for Advanced Urology LLC | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 |
| Thomas J Gerbner | Psychologist, Clinical | 15 Presidential Blvd, Suite 202, Bala Cynwyd, PA 19004-1021 | |
| Find all physicians in zip 19004 | |||
| City | BALA CYNWYD |
| Zip Code | 19004 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | BALA CYNWYD + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Mohan J Gurubhagavatula.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.