Individual provider Active NPI

Itivrita Goyal, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
National Provider Identifier
1225425747
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35545 Issued in OK
Practice address
1000 N Lincoln Blvd # 3400
Oklahoma City, OK 73104-3252
Phone
(405) 271-1000
Fax
(405) 271-7014
NPI assigned
Apr 22, 2015
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35545 OK Primary

Addresses

Primary practice location

1000 N Lincoln Blvd # 3400
Oklahoma City, OK 73104-3252

Mailing address

1122 NE 13TH St # 274
Oklahoma City, OK 73117-1039
Phone (405) 271-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200924002395 OK Practitioner - Endocrinology 6901141779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1000 N Lincoln Blvd
Oklahoma City, OK 73104-3252
Phone (405) 271-7000

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 1, 2020 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 1, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1122 NE 13th St
#274
Oklahoma City, OK 73117

1000 N Lincoln Blvd
Ste 3400
Oklahoma City, OK 73104
Phone (405) 271-1000

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1000 N Lincoln Blvd
#3400
Oklahoma City, OK 73104
Phone (405) 271-1000

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1000 N Lincoln Blvd
Ste 340
Oklahoma City, OK 73104

1000 N Lincoln Blvd
Oklahoma City, OK 73104
Phone (405) 232-8696

Organizations & group practices 6

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 1

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1225425747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1000",
            "fax_number": "405-271-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LINCOLN BLVD # 3400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043252",
            "telephone_number": "405-271-1000",
            "fax_number": "405-271-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "ITIVRITA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "35545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.