Sujan Gogu, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

R0401 Issued in TX

Practice address

1000 E Dove Ave Ste 200
McAllen, TX 78504-3974

Phone

(956) 362-3530

Fax

(956) 362-3531

NPI assigned

May 28, 2014

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Sports MedicineAlso: Family Practice, Pain Management

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance ProvidersGroup PAC ID 3476877879, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

77.39 of 100Reported as group

Quality

68.87

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Renaissance Providers

  • Orthopaedic Surgery Physician
  • Edinburg, TX
  • NPI 1336577477

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1548999451
  Medicare reassignment NPD
• Southwest Medical Associates, Inc.

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1831299122
  Medicare reassignment NPD
• McAllen Hospitalist Group, PLLC

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  NPD
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1033972716
  NPD
• Doctors Hospital at Renaissance, LTD

  • Multi-Specialty Clinic/Center
  • Edinburg, TX
  • NPI 1710600556
  NPD (past)
• Heart Clinic, PLLC

  • Cardiovascular Disease Physician
  • McAllen, TX
  • NPI 1437153244
  NPD (past)

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

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1407268162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-3530",
            "fax_number": "956-362-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOVE AVE STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043974",
            "telephone_number": "956-362-3530",
            "fax_number": "956-362-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 S Sugar Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399140",
            "country_code": "US",
            "telephone_number": "956-420-3311",
            "fax_number": "956-229-6182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGU",
        "first_name": "SUJAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R0401",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R0401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "731012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1N6372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Gloria
• Glowing Hearts Home Health, L.L.C.
• GMC PHC Services, Inc.
• Jennifer Godinez, RBT
• Miguel Godoy
• Hamaad Shahid Gohar, MD
• Golden Angels PHC
• Golden Heart Home Care, LLC.
• Golden Jet Ambulance LLC
• Golden Years Health Services Inc

• Sports Medicine (Family Medicine) Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.