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ROHIT GULATI M.D.
NPI 1790748408
Internal Medicine in Philadelphia, PA

Active since April 11, 2006PECOS Enrolled
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-6940 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rohit Gulati M.d. NPPES

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

ROHIT GULATI M.D. (NPI 1790748408) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD465629) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Martinsburg.

NPPES Registry Identity

NPI1790748408
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROHIT GULATICredential: M.D.
Location Address5501 OLD YORK RDPhiladelphia, PA 19141
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470
Phone(215) 456-6940
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateMarch 28, 2019
✔ NPI 1790748408 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 · MD465629
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.
5501 OLD YORK RD, Philadelphia, PA 19141
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Secondary Practice Location 1

Location 12500 Hospital DrMartinsburg, WV 25401-3402 · Phone (304) 264-1000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rohit Gulati M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rohit Gulati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan, Inc
Same address
Medical Toxicology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1396327151 (215) 456-6666
St Agnes Healthcare Inc
97 mi
Internal Medicine
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 372 clinicians in this Medicare group
NPI 1144250176 (667) 234-2149
University Healthcare Physicians Inc
156 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Rohit Gulati's NPI number?

The NPI number for Rohit Gulati is 1790748408. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Rohit Gulati located?

Rohit Gulati practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-6940.

What is Rohit Gulati's specialty?

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

Is Rohit Gulati enrolled in Medicare?

Yes. Rohit Gulati is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rohit Gulati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohit Gulati reassigns Medicare benefits to 3 organizations: Einstein Practice Plan, Inc (Philadelphia, PA), St Agnes Healthcare Inc (Baltimore, MD) and University Healthcare Physicians Inc (Martinsburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rohit Gulati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rohit Gulati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rohit Gulati 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.

When was this NPI record last updated?

The NPPES record for Rohit Gulati was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.