NPIMap

Individual provider Active NPI

Joseph D Gayagoy, M.D.

  • Internal Medicine Physician
  • Lodi, CA
National Provider Identifier
1386738458
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56352 Issued in CA
Practice address
999 S Fairmont Ave
Suite 135
Lodi, CA 95240-5100
Phone
(209) 366-2060
Fax
(209) 366-2032
NPI assigned
Oct 3, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56352 CA Primary

Addresses

Primary practice location

999 S Fairmont Ave
Suite 135
Lodi, CA 95240-5100

Mailing address

999 S Fairmont Ave
Suite 135
Lodi, CA 95240-5100
Phone (209) 366-2031

Other identifiers 1

IdentifierTypeStateIssuer
00A563520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000305 CA Practitioner - Internal Medicine 5698704849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

999 S Fairmont Ave
Suite 135
Lodi, CA 95240-5141
Phone (209) 224-5710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56352CAMDDentist
A56352CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association Inc CurrentSince Oct 19, 2011 Accepting new patients
Joseph Gayagoy MD a Professional Corporation Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
DRS. M. Hoff, J. Hoff, Gayagoy and Shukla Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients

Locations

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

999 S Fairmont Ave
Ste 135
Lodi, CA 95240
Phone (209) 224-5719

Interoperability endpoints

  • Direct secure messaging: joseph.gayagoy.1@33158.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1386738458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 S FAIRMONT AVE",
            "address_2": "SUITE 135",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405100",
            "telephone_number": "209-366-2031",
            "fax_number": "209-366-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S FAIRMONT AVE",
            "address_2": "SUITE 135",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405100",
            "telephone_number": "209-366-2060",
            "fax_number": "209-366-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYAGOY",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A563520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.