ISRAEL GOHOHO (PA-C) – Physician Assistant, NPI 1114738408

ISRAEL GOHOHO (PA-C) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA101376 (MA). The NPI Number for ISRAEL GOHOHO (PA-C) is 1114738408

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ISRAEL GOHOHO (PA-C)
NPI
1114738408
Phone
(413) 241-2100
Address
100 WASON AVE STE 120
Enumeration Date
15 January 2025
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132412100
Graduation Year
2024 (2 years ago)
PAC ID
4587185715
Group Practice PAC ID
7214972207
Professional Enrollment ID
I20250304003848
Address ID
MA011071119SP100XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for ISRAEL GOHOHO (PA-C)

  • 100 WASON AVE STE 120

    SPRINGFIELD, MA 011071179

    Phone: (413) 241-2100

    Fax: (413) 735-1986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304003848IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214972207View full group profile
NameSpecialtyState
U R O L O G YMA
U R O L O G YMA
U R O L O G YMA
U R O L O G YMA
-MA
U R O L O G YMA
U R O L O G YMO
U R O L O G YMA
Physician AssistantMA
U R O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for ISRAEL GOHOHO (PA-C)?
Save NPI 1114738408 if you need a stable reference for ISRAEL GOHOHO (PA-C).
Is ISRAEL GOHOHO (PA-C) currently active in the NPI registry?
CMS-published data lists ISRAEL GOHOHO (PA-C) as an active registrant.
What field does ISRAEL GOHOHO (PA-C) work in?
You can think of ISRAEL GOHOHO (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ISRAEL GOHOHO (PA-C)?
The page summarizes Springfield, Massachusetts for ISRAEL GOHOHO (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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