SIDDESH GOPALAKRISHNAN MD
NPI 1053974071
Psychiatry & Neurology - Child & Adolescent Psychiatry in Union, NJ
About Siddesh Gopalakrishnan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDDESH GOPALAKRISHNAN MD (NPI 1053974071) is an individual child & adolescent psychiatry provider in Union, New Jersey, licensed in New Jersey (25MA12442600) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of University Of Arizona College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siddesh Gopalakrishnan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Siddesh Gopalakrishnan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UNION, NJ 07083
UNION, NJ 07083
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Siddesh Gopalakrishnan's NPI number?
The NPI number for Siddesh Gopalakrishnan is 1053974071. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Siddesh Gopalakrishnan located?
Siddesh Gopalakrishnan practices at 2840 Morris Ave, Union, NJ 07083. The listed phone number is (888) 244-5373.
What is Siddesh Gopalakrishnan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Siddesh Gopalakrishnan enrolled in Medicare?
Yes. Siddesh Gopalakrishnan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Siddesh Gopalakrishnan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siddesh Gopalakrishnan reassigns Medicare benefits to Children's Specialized Hospital (New Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siddesh Gopalakrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Siddesh Gopalakrishnan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Siddesh Gopalakrishnan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Siddesh Gopalakrishnan was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Siddesh Gopalakrishnan, MD · NPI 1053974071
Child & Adolescent Psychiatry physician in Union, New Jersey. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1053974071 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 25MA12442600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2840 MORRIS AVE, Union, NJ 07083-4851
- **Phone:** (888) 244-5373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Specialized Hospital (NPI 1396886297, New Brunswick, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053974071) · Data from the CMS NPPES public registry.