Individual provider Active NPI

Prith M Goomar, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1255347811
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036077049 Issued in IL
Practice address
5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672
Phone
(312) 446-8785
Fax
(773) 890-1199
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036077049 IL Primary

Addresses

Primary practice location

5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672

Mailing address

5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672
Phone (312) 446-8785

Other identifiers 1

IdentifierTypeStateIssuer
036077049MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070604000151 IL Practitioner - Internal MedicinePractitioner - Pain Management 9335196930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5875 N Lincoln Ave
Suite 105
Chicago, IL 60659-4672
Phone (312) 446-8785

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077049ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Associates, SC Multi-Specialty CurrentSince Apr 3, 2007 Accepting new patients

Locations

5875 N Lincoln Ave
Ste 105
Chicago, IL 60659
Phone (312) 446-8785

4711 Golf Rd
Ste 806
Skokie, IL 60076

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1255347811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "312-446-8785",
            "fax_number": "773-890-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "312-446-8785",
            "fax_number": "773-890-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOMAR",
        "first_name": "PRITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036077049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.