ANDY S. GOBERDHAN MD - NPI 1386823425 - Internal Medicine in Philadelphia, PA

Q: What is Andy Goberdhan's NPI number?

The NPI number for Andy Goberdhan is 1386823425. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Q: What is Andy Goberdhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Andy Goberdhan was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Andy S. Goberdhan Md NPPES

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

ANDY S. GOBERDHAN MD (NPI 1386823425) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Indiana (01091743A) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Drexel University College Of Medicine (2025).

NPPES Registry Identity

NPI1386823425

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameANDY S. GOBERDHANCredential: MD

Location Address6431 SACKETT STPhiladelphia, PA 19149

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(267) 448-4908

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2025

Enumeration DateOctober 25, 2007

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1386823425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in IN · 01091743A✔ Licensed in DE · C1-0023949

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedGeneral PracticeTaxonomy 208D00000X · License MD435721 (PA)

Also ListedHospitalistTaxonomy 208M00000X · License 95880 (SC)

6431 SACKETT ST, Philadelphia, PA 19149

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Secondary Practice Location 1

Location 111050 Parkview Circle DrFort Wayne, IN 46845-1739 · Phone (833) 724-8326 · Fax (260) 425-6845

Other Identifiers 2

Medicaid250606327DE

Medicaid102269160-0001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andy S. Goberdhan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082762760

PECOS Enrollment IDI20260228000447

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 19149 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

$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.