Individual provider Active NPI

Sunil Kumar Goli, MD

  • Neurology Physician
  • Alabaster, AL
National Provider Identifier
1124045083
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28844 Issued in AL
Practice address
1004 1St St N
Suite 350
Alabaster, AL 35007-8766
Phone
(205) 664-7852
Fax
(205) 664-7822
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9269 ND
Neurology Physician 2084N0400X 28844 AL Primary

Addresses

Primary practice location

1004 1St St N
Suite 350
Alabaster, AL 35007-8766

Mailing address

1022 1St Street North
Suite 305
Alabaster, AL 35007-8725
Phone (205) 664-7852

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
I20100714000661 AL Practitioner - Neurology 7810029634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1004 1St St N
Suite 350
Alabaster, AL 35007-8605
Phone (205) 664-7852

Hospital & facility affiliations

  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28844ALMDNeurology Physician
9269NDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Neurology and Sleep, PC Neurology CurrentSince Oct 1, 2012 Accepting new patients
Birmingham Physicians Radiology PLLC CurrentSince Jun 5, 2017 Accepting new patients
Affinity Cardiovascular Specialists LLC PastSince Jun 5, 2017 Accepting new patients

Locations

644 2nd St NE
Ste 101
Alabaster, AL 35007
Phone (205) 358-1848

1004 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 663-2103

3425 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 823-3366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5820/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sunil.goli.1@5820.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1124045083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST STREET NORTH",
            "address_2": "SUITE 305",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078725",
            "telephone_number": "205-664-7852",
            "fax_number": "205-664-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N",
            "address_2": "SUITE 350",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078766",
            "telephone_number": "205-664-7852",
            "fax_number": "205-664-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLI",
        "first_name": "SUNIL",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "9269",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "28844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.