Aditya R Goud, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

62285 Issued in AZ

Practice address

2082 Mesquite Ave Ste 100a
Lake Havasu City, AZ 86403-6710

Phone

(928) 453-2727

Fax

(928) 453-2828

NPI assigned

Jul 7, 2014

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 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 2

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Exceptional Community Hospital Bullhead City Hospital, Bullhead City, AZ, CCN 030155
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.85 of 100Reported as group

Quality

60.31

Promoting interoperability

93

Improvement activities

40

Cost

78.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aditya.goud.2@1575.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4

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

• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lakeside Heart and Vascular Center PLLC

  • Interventional Cardiology Physician
  • Lake Havasu City, AZ
  • NPI 1801194352

  Cardiovascular Disease

  Medicare reassignment NPD
• Silver Summit Medical Corporation

  dba Heart Vascular and Leg Center

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1386754273
  Medicare reassignment NPD
• Bullhead City Clinic Corp

  dba Laughlin Walk In Care

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD
• Oak Hills Medical Corporation

  dba Diabetic Foot and Wound Care Center

  • Podiatrist
  • Delano, CA
  • NPI 1932641644
  NPD
• Executive Cardiac Arrhythmia Solutions, Inc

  dba The Heart Rhythm Institute of Arizona

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
  • NPI 1588109573
  NPD (past)
• Silver Summit Medical Corporation

  dba Advanced Joint Pain & Vascular Center

  • Specialist
  • Bakersfield, CA
  • NPI 1891913612
  NPD (past)

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

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Exceptional Health Care Bullhead City LLC

  dba Exceptional Community Hospital Bullhead City

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  Care Compare affiliation
• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1073929550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3539",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053539",
            "telephone_number": "928-453-2727",
            "fax_number": "928-453-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 MESQUITE AVE STE 100A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036710",
            "telephone_number": "928-453-2727",
            "fax_number": "928-453-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Highway 95 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427802",
            "country_code": "US",
            "telephone_number": "928-299-5333",
            "fax_number": "928-453-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 S Joshua Ave",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "AZ",
            "postal_code": "853445057",
            "country_code": "US",
            "telephone_number": "928-669-5482",
            "fax_number": "928-453-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2139 Airway Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093748",
            "country_code": "US",
            "telephone_number": "928-453-2727",
            "fax_number": "928-453-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUD",
        "first_name": "ADITYA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "62285",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "62285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Benjamin Gonzalez, L.M.T.
• Lara Goodell, P.T.A.
• Kathryn Goodrich, SLP
• Robert J Goodrich, MD CST
• Goodwill of Northern Arizona
• Martin John Goulooze, D.C.
• GR LHC, LLC (Lake View Terrace Memory Care)
• Christian L Grandell, PA-C
• Benjamin Gray
• Kristie Grayhek, NP

• Interventional Cardiology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.