DR. SHIVSAI GONGALLA MD
NPI 1376228239
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Shivsai Gongalla's NPI number?

The NPI number for Shivsai Gongalla is 1376228239. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Shivsai Gongalla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Shivsai Gongalla was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2023PECOS Enrolled

100 E LEHIGH AVE UNIT N238, PHILADELPHIA, PA 19125(215) 707-1200 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shivsai Gongalla Md NPPES

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

DR. SHIVSAI GONGALLA MD (NPI 1376228239) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT229487) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376228239

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SHIVSAI GONGALLACredential: MD

Location Address100 E LEHIGH AVE UNIT N238Philadelphia, PA 19125-1012

Mailing Address1050 N Hancock St # N238Philadelphia, PA 19123-2342

Phone(215) 707-1200

Sole ProprietorYes

Enumeration DateJune 19, 2023

NPPES CertifiedJune 19, 2023

✔ NPI 1376228239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MT229487

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

100 E LEHIGH AVE UNIT N238, Philadelphia, PA 19125

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shivsai Gongalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shivsai Gongalla's NPI number?

The NPI number for Shivsai Gongalla is 1376228239. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Shivsai Gongalla located?

Shivsai Gongalla practices at 100 E Lehigh Ave Unit N238, Philadelphia, PA 19125. The listed phone number is (215) 707-1200.

What is Shivsai Gongalla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shivsai Gongalla enrolled in Medicare?

Yes. Shivsai Gongalla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shivsai Gongalla was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.