Active NPI
James Joseph Goebel, M.D.
- Diagnostic Radiology Physician
- Sioux City, IA
National Provider Identifier
1366402836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18534
- Practice address
- 2720 Stone Park Blvd
Sioux City, IA 51104-3734 - Phone
- (712) 279-3285
- NPI assigned
- Mar 27, 2006
- Last updated
- Sep 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18534 | IA | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Mailing address
4200 University Ave
Suite 104
West Des Moines, IA 50266-5945
Phone (515) 226-7426
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00252962 | Other | RAILROAD MEDICARE | |
| 39332 | Other | BCBS OF IOWA | |
| 39331 | Other | BCBS OF IOWA | |
| 5197509 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Hospital Corporation | Past | Accepting new patients | |
| Medical Imaging Physicians, L.L.P. | Diagnostic Radiology | Past | Accepting new patients |
| Michael Wadzinski, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Sioux City, IA
- NPI 1255391447
-
dba Wadzinski Eye Clinic PC
- Ophthalmology Physician
- Sioux City, IA
- NPI 1629291992
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1366402836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 UNIVERSITY AVE",
"address_2": "SUITE 104",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665945",
"telephone_number": "515-226-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "18534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00252962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "39332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "39331",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5197509",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.