Individual provider Active NPI

Kamal Kumar Goyal, M.D.

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1043698111
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME132449 Issued in FL
Practice address
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone
(407) 303-6413
Fax
(407) 303-6414
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 325523 LA
Emergency Medicine Physician 207P00000X ME132449 FL Primary

Addresses

Primary practice location

7727 Lake Underhill Rd
Orlando, FL 32822-8224

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other names 1

  • Dr. Kamal K. Goyal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, LA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170722000151 FL Practitioner - Emergency MedicinePractitioner - Family Practice 5890065981 Reassigns benefits to 7 organizations
I20180205001109 MO Practitioner - Emergency Medicine 5890065981 Reassigns benefits to 2 organizations
I20210614001100 LA Practitioner - Emergency Medicine 5890065981 Reassigns benefits to 3 organizations
I20210714001343 GA Practitioner - Emergency MedicinePractitioner - Family Practice 5890065981

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Univ of Central Florida, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians
Polk Emergency Group LLCGroup PAC ID 0547241598, 19 clinicians

Practice addresses (Care Compare)

17430 Bali Blvd
Winter Garden, FL 34787-9507
Phone (863) 422-5582

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325523LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC CurrentSince Mar 18, 2020 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Apr 21, 2022 Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince May 8, 2021 Accepting new patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 28, 2022 Accepting new patients
Urgent Care Centers of Brevard County LLC Current Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Mar 18, 2020 Accepting new patients
St. Bernard Emergency Group, LLC Emergency Medicine CurrentSince Apr 20, 2022 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Oct 9, 2018 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince May 9, 2023 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Apr 21, 2022 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Nov 23, 2018 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Oct 9, 2018 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Nov 23, 2018 Accepting new patients
Em Alliance LLC Emergency Medicine Past Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

8460 Champions Gate Blvd
Champions Gate, FL 33896
Phone (407) 530-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

200 Corporate Blvd
Lafayette, LA 70508

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1043698111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228224",
            "telephone_number": "407-303-6413",
            "fax_number": "407-303-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "KAMAL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "325523",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME132449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMAL",
            "last_name": "GOYAL",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.