Individual provider Active NPI

Niraj Govil, M.D

  • Adult Medicine Physician
  • Alexandria, VA
National Provider Identifier
1003931767
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MA66454 Issued in NJ
Practice address
5840 Cameron Run Ter Apt 1115
Alexandria, VA 22303-1811
Phone
(240) 612-1076
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MA66454 NJ Primary

Addresses

Primary practice location

5840 Cameron Run Ter Apt 1115
Alexandria, VA 22303-1811

Mailing address

1060 W Perimeter Rd Ste 3K43
JB Andrews, MD 20762-6602
Phone (937) 938-3097

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Alexandria

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA66454NJMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Jul 9, 2024 Accepting new patients
Shore Health Group, PC Past Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C Past Accepting new patients
Kenneth Faistl, MD,PA PastSince Mar 13, 2009 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC PastSince Jan 1, 2014 Accepting new patients

Locations

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

846 State Route 28
Milford, OH 45150
Phone (513) 831-8555

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1003931767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W PERIMETER RD STE 3K43",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207626602",
            "telephone_number": "937-938-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 CAMERON RUN TER APT 1115",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031811",
            "telephone_number": "240-612-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVIL",
        "first_name": "NIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MA66454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Alexandria",
            "affiliation": "N",
            "address_1": "5840 Cameron Run Ter Apt 1115",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223031811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.