Individual provider Active NPI

Pooja Goel Kamath, M.D.

  • Family Medicine Physician
  • Avon, OH
National Provider Identifier
1043657877
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31.136859 Issued in OH
Practice address
36040 Detroit Rd Ste a
Avon, OH 44011-1686
Phone
(312) 219-2230
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31.136859 OH Primary
Family Medicine Physician 207Q00000X 036-138871 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

36040 Detroit Rd Ste a
Avon, OH 44011-1686

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

1931 N Halsted St
Chicago, IL 60614-5008
Phone (312) 999-5510

Other names 1

  • Pooja Goel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190927001977 OH Practitioner - Family Practice 4880827286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State University - CapGroup PAC ID 3375434707, 7 clinicians

Practice addresses (Care Compare)

3870 Townsfair Way
N 103 B
Columbus, OH 43219-6173
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-138871ILMDFamily Medicine Physician
31.136859OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State University - Cap Family Medicine CurrentSince Sep 23, 2025 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 28, 2019 Accepting new patients

Locations

36040 Detroit Rd
Ste A
Avon, OH 44011
Phone (886) 636-3318

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3870 Townsfair Way
#103B
Columbus, OH 43219

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 2

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1043657877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36040 DETROIT RD STE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111686",
            "telephone_number": "312-219-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 N Halsted St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606145008",
            "country_code": "US",
            "telephone_number": "312-999-5510",
            "fax_number": "312-219-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "POOJA",
        "middle_name": "GOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "31.136859",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-138871",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "GOEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.