Rishi Gulati, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in 19131, Pennsylvania. His current practice location is
4190 City Ave, 19131, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(703) 581-4117.
Rishi Gulati is licensed to practice in Pennsylvania (license number OS023747) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699410928.
Physician's Profile
Full Name | Rishi Gulati |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4190 City Ave, 19131, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699410928
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961885991
- Enrollment ID: I20240628003315
Medical Identifiers
Medical identifiers for Rishi Gulati such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699410928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS023747 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OS023747 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rishi Gulati allows following entities to bill medicare on his behalf.
Entity Name | Suburban Geriatric's, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679594808 PECOS PAC ID: 4486551371 Enrollment ID: O20031218000064 |
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Entity Name | Suburban Geriatrics Ii Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073273363 PECOS PAC ID: 9537552419 Enrollment ID: O20220217001836 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rishi Gulati is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rishi Gulati, DO 200 N 16th St Apt 1112, Philadelphia, PA 19102-1208 Ph: (703) 350-5907 | Rishi Gulati, DO 4190 City Ave, 19131, PA 19102 Ph: (703) 581-4117 |
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