EVAN RYAN GOOBERMAN DO, MPH
NPI 1114486909
Family Medicine in Philadelphia, PA
About Evan Ryan Gooberman Do, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN RYAN GOOBERMAN DO, MPH (NPI 1114486909) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS021758) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Abington, and is a graduate of Philadelphia College Of Osteopathic Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evan Ryan Gooberman Do, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PHILADELPHIA, PA 19133
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 Evan Gooberman's NPI number?
The NPI number for Evan Gooberman is 1114486909. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Evan Gooberman located?
Evan Gooberman practices at 401 W Allegheny Ave, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.
What is Evan Gooberman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Evan Gooberman enrolled in Medicare?
Yes. Evan Gooberman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Evan Gooberman was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Evan Ryan Gooberman, DO, MPH · NPI 1114486909
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1114486909 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS021758 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 W ALLEGHENY AVE, Philadelphia, PA 19133-3644
- **Phone:** (215) 291-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** July 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114486909) · Data from the CMS NPPES public registry.