Active NPI
Naba Goswami, MD
- Internal Medicine Physician
- St Clairsville, OH
National Provider Identifier
1053471672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35069006
- Practice address
- 109 Plaza Dr
St Clairsville, OH 43950 - Phone
- (740) 695-2609
- Fax
- (740) 695-2877
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35069006 | OH | |
| Internal Medicine Physician | 207R00000X | 35069006 | OH | Primary |
Addresses
Primary practice location
109 Plaza Dr
St Clairsville, OH 43950
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (740) 695-2609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0948149 | Medicaid | OH | |
| 110141077 | Other | OH | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080923000019 | OH | Practitioner - Internal Medicine | 5395812093 | Practice locations: Martins Ferry, OH; Saint Clairsville, OH; St Clairsville, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Mario C Mejia PC | Internal Medicine | Past | Accepting new patients |
| Cleveland Prime Care Belmont LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Martins Ferry, OH
- NPI 1619436854
-
- Internal Medicine Physician
- Martins Ferry, OH
- NPI 1023126307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1053471672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "740-695-2609",
"fax_number": "740-695-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PLAZA DR",
"city": "ST CLAIRSVILLE",
"state": "OH",
"postal_code": "43950",
"telephone_number": "740-695-2609",
"fax_number": "740-695-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSWAMI",
"first_name": "NABA",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35069006",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35069006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0948149",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110141077",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.