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MICHELLE SABRINA GORBONOSOV MD
NPI 1356978845
Family Medicine - Sports Medicine in Philadelphia, PA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
834 WALNUT ST, PHILADELPHIA, PA 19107(215) 955-1329 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Michelle Sabrina Gorbonosov Md NPPES

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

MICHELLE SABRINA GORBONOSOV MD (NPI 1356978845) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484176) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1356978845
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameMICHELLE SABRINA GORBONOSOVCredential: MD
Location Address834 WALNUT STPhiladelphia, PA 19107-5109
Mailing Address500 N 21st StPhiladelphia, PA 19130-4267
Phone(215) 955-1329
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1356978845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · MD484176
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
834 WALNUT ST, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 13 Crescent DrPhiladelphia, PA 19112-1016 · Phone (800) 533-3669

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Michelle Sabrina Gorbonosov 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 ID9537609904
PECOS Enrollment IDI20240912000059
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.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

RONALD I CANTOR & WILLAIM BIERMANN MD PC
Internal Medicine (Hematology & Oncology)
834 WALNUT ST, STE 110
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6039
DR. RASHMI CHAWLA M.D.
Internal Medicine (Pulmonary Disease)
834 WALNUT ST, 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6591
VALERIA SANTIBANEZ
Internal Medicine (Pulmonary Disease)
834 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (929) 304-3349
BOYD HEHN MD
Internal Medicine (Pulmonary Disease)
834 WALNUT ST, SUITE 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
DR. DAVID L. HORN M.D.
Internal Medicine (Infectious Disease)
834 WALNUT ST, SUITE 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
DR. SALVATORE MANGIONE M.D.
Internal Medicine (Pulmonary Disease)
834 WALNUT ST, SUITE 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
DR. BHARAT K. AWSARE M.D.
Internal Medicine (Pulmonary Disease)
834 WALNUT ST, SUITE 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
NIKHIL MADAN
Internal Medicine (Critical Care Medicine)
834 WALNUT ST, SUITE 650
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1671

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 Michelle Gorbonosov's NPI number?

The NPI number for Michelle Gorbonosov is 1356978845. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Michelle Gorbonosov located?

Michelle Gorbonosov practices at 834 Walnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-1329.

What is Michelle Gorbonosov's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michelle Gorbonosov enrolled in Medicare?

Yes. Michelle Gorbonosov 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.

What insurance does Michelle Gorbonosov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michelle Gorbonosov 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.

Is Michelle Gorbonosov affiliated with any hospitals?

According to CMS data, Michelle Gorbonosov is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Gorbonosov was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.