Active NPI
Naveen Gopal, MD
- Internal Medicine Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 123893
- Practice address
- 630 E River St
Elyria, OH 44035-5902 - Phone
- (440) 329-7500
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14384 | NV | |
| Internal Medicine Physician | 207R00000X | 123893 | OH | Primary |
Addresses
Primary practice location
630 E River St
Elyria, OH 44035-5902
Mailing address
30575 Bainbridge Rd Ste 200
Solon, OH 44139-2275
Phone (440) 542-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184601239 | Medicaid | NV |
Other names 1
- Naveen G
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Cleveland Clinic Hospice
- Fairview Hospital
- Medina Hospital
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14384 | NV | MD | Internal Medicine Physician |
| 123893 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| North Coast Professional Company, LLC | Family Medicine | Current | Accepting new patients |
| Hni Medical Services of Ohio, LLC | Family Medicine | Current | Accepting new patients |
| Community Hospitalist, LLC | Internal Medicine | Current | Accepting new patients |
| North Coast Professional Company, LLC | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Medina Hospital | Past | Accepting new patients | |
| Fairview Hospital | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455
703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
30575 Bainbridge Rd
Ste 200
Solon, OH 44139
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1356815922
Family Medicine
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1881648210
Family Medicine
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Rural Health Clinic/Center
- Fremont, OH
- NPI 1407393242
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Independence, OH
- NPI 1598738718
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642291200000",
"number": "1346479623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30575 BAINBRIDGE RD STE 200",
"city": "SOLON",
"state": "OH",
"postal_code": "441392275",
"telephone_number": "440-542-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPAL",
"first_name": "NAVEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "14384",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "123893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184601239",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NAVEEN",
"last_name": "G",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.