Individual provider Active NPI

Shubhi Goyal Goli, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Atlanta, GA
National Provider Identifier
1174973960
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
100440 Issued in GA
Practice address
1547 Clifton Rd NE FL 2
Atlanta, GA 30322-1809
Phone
(404) 785-7189
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A168595 CA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 100440 GA Primary
Pediatrics Physician 208000000X MT210903 PA

Addresses

Primary practice location

1547 Clifton Rd NE FL 2
Atlanta, GA 30322-1809

Mailing address

1547 Clifton Road
2ND Floor
Atlanta, GA 30322-4008

Other practice location 1

3401 Civic Center Blvd
9NW, Room 55
Philadelphia, PA 19104-4319
Phone (215) 590-1220

Other practice location 2

747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3045

Other names 1

  • Shubhi Goyal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20200715002956 CA Practitioner - Pediatric Medicine 5597092023 Reassigns benefits to 4 organizations
I20241022000122 GA Practitioner - Pediatric Medicine 5597092023 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168595CAMDPediatrics Physician
MT210903PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Aug 27, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 13, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 13, 2020 Accepting new patients
UCSF Health Medical Foundation CurrentSince Jul 13, 2020 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jul 13, 2020 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 27, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 13, 2020 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jul 13, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1174973960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 CLIFTON ROAD",
            "address_2": "2ND FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303224008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 CLIFTON RD NE FL 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221809",
            "telephone_number": "404-785-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "9NW, Room 55",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 52nd St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091809",
            "country_code": "US",
            "telephone_number": "510-428-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLI",
        "first_name": "SHUBHI",
        "middle_name": "GOYAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A168595",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "GA",
            "license": "100440",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT210903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUBHI",
            "last_name": "GOYAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.