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DR. NITA RAI GOHEL MD
NPI 1124018288
Internal Medicine in Gibsonia, PA

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
5375 WILLIAM FLYNN HWY, GIBSONIA, PA 15044(724) 444-4700(724) 444-4730 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nita Rai Gohel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NITA RAI GOHEL MD (NPI 1124018288) is an individual internal medicine provider in Gibsonia, Pennsylvania, licensed in Pennsylvania (MD058314L) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1124018288
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NITA RAI GOHELCredential: MD
Location Address5375 WILLIAM FLYNN HWYGibsonia, PA 15044-9666
Mailing Address4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5227
Phone(724) 444-4700
Fax(724) 444-4730
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1124018288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD058314L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5375 WILLIAM FLYNN HWY, Gibsonia, PA 15044
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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

Dr. Nita Rai Gohel Md 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.

PECOS PAC ID4183522295
PECOS Enrollment IDI20031229000345
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services49 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%81 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims21 services$4.41 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$30.42 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims60 services$1.75 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers28 claims28 services$22.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$67.56 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$175.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEGHAN FROST
Nurse Practitioner (Family)
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 444-4700
MR. STEPHEN A MELLETT RPH
Pharmacist
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 443-5990
DR. MILLICENT MCCARREN M.D.
Obstetrics & Gynecology
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 449-3245
BETHANY LYNN LYON LCSW
Social Worker (Clinical)
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 444-2018
DR. SUSAN L DEAKIN DO
Internal Medicine
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 444-4700
BRENDA CHRISTINE HO RD
Dietitian, Registered
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 444-4700
ALLEGHENY MEDICAL PRACTICE NETWORK
Non-Pharmacy Dispensing Site
5375 WILLIAM FLYNN HWY, RICHLAND MALL
GIBSONIA, PA 15044
Allegheny County (724) 444-4700
ALLEGHENY CLINIC
Obstetrics & Gynecology
5375 WILLIAM FLYNN HWY
GIBSONIA, PA 15044
Allegheny County (724) 449-3245

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 Nita Rai Gohel's NPI number?

The NPI number for Nita Rai Gohel is 1124018288. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Nita Rai Gohel located?

Nita Rai Gohel practices at 5375 William Flynn Hwy, Gibsonia, PA 15044. The listed phone number is (724) 444-4700.

What is Nita Rai Gohel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nita Rai Gohel enrolled in Medicare?

Yes. Nita Rai Gohel 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.

Is Nita Rai Gohel affiliated with any hospitals?

According to CMS data, Nita Rai Gohel is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, West Penn Hospital, Forbes Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Nita Rai Gohel was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.