Sudhir Goyal, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

178367 Issued in NY

Practice address

340 Howells Rd
Suite a
Bay Shore, NY 11706-5309

Phone

(631) 666-2808

Fax

(631) 666-3097

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suffolk Nephrology Associates, PCGroup PAC ID 7416023437, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita East Islip Dialysis Dialysis facility, East Islip, NY, CCN 332752
• FMC Hauppauge Dialysis Center Dialysis facility, Hauppauge, NY, CCN 332655
• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

90.35

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Suffolk Nephrology Associates, PC

  • Internal Medicine Physician
  • Bay Shore, NY
  • NPI 1255501045
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hauppauge Dialysis Center, LLC

  dba Hauppauge Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hauppauge, NY
  • NPI 1821477670

  Dialysis facility

  Care Compare affiliation Name & address match
• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1356442495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "address_2": "SUITE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065309",
            "telephone_number": "631-666-2808",
            "fax_number": "631-666-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "address_2": "SUITE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065309",
            "telephone_number": "631-666-2808",
            "fax_number": "631-666-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "SUDHIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178367",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "178367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01165700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gorczycki, PA-C
• Bernard N. Gordy, LAC.
• Lisa Maria Gostkowski
• Meaghan Gould, LMSW
• Susan L Gouldson
• Daniel Gozdziewski, DC
• Mark W Graf, LMT
• Latisa Ann Graham, MHC-LP
• Chelsea Grant, MD
• Michael Grant

• Nephrology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.

Verify at the official NPI Registry.