Individual provider Active NPI

Vasudeva Rao Goli, M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1114982881
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16528 Issued in AL
Practice address
817 Princeton Ave SW
Professional BLDG 2 Suite 202
Birmingham, AL 35211-1333
Phone
(205) 786-8815
Fax
(205) 786-8835
NPI assigned
Apr 18, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 16528 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW
Professional BLDG 2 Suite 202
Birmingham, AL 35211-1333

Mailing address

801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1310
Phone (205) 780-4330

Other identifiers 1

IdentifierTypeStateIssuer
5152620MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100805000109 AL Practitioner - Cardiovascular Disease (Cardiology) 8820121262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology , PCGroup PAC ID 6204723752, 11 clinicians

Practice addresses (Care Compare)

801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1309
Phone (205) 780-4330

817 Princeton Ave SW
Suite 202
Birmingham, AL 35211-1348
Phone (205) 786-8815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
93.68
Promoting interoperability
100
Improvement activities
40
Cost
73.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology , PC Cardiovascular Disease CurrentSince Jan 1, 2003 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Cardiovascular Disease Past Accepting new patients

Locations

801 Princeton Ave SW
Ste 707
Birmingham, AL 35211
Phone (205) 780-4330

817 Princeton Ave SW
Ste 202
Birmingham, AL 35211
Phone (205) 786-8815

3400 Highway 78 E
Ste 311
Jasper, AL 35501
Phone (205) 221-9494

Interoperability endpoints

  • Direct secure messaging: vasudevagoli@cpc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1114982881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "SUITE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "PROFESSIONAL BLDG 2 SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333",
            "telephone_number": "205-786-8815",
            "fax_number": "205-786-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLI",
        "first_name": "VASUDEVA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "16528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5152620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.