Individual provider Active NPI

Vijay K Goyal, M.D.

  • Hematology & Oncology Physician
  • Rockford, IL
National Provider Identifier
1407966484
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036086343 Issued in IL
Practice address
2400 N Rockton Ave
Rockford, IL 61103-3655
Phone
(815) 971-6188
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036086343 IL
Hematology & Oncology Physician 207RH0003X 036086343 IL Primary

Addresses

Primary practice location

2400 N Rockton Ave
Rockford, IL 61103-3655

Mailing address

825 W Market St
Suite 260
Lima, OH 45805-2799
Phone (419) 222-6595

Other practice location 1

825 W Market St
Suite 260
Lima, OH 45805-2799
Phone (419) 222-6595

Other practice location 2

875 South Route 31
Crystal Lake, IL 60014-8190
Phone (888) 396-3729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20040505001321 IL Practitioner - Hematology/Oncology 5496743528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5000

Hospital & facility affiliations

  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086343ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Jan 20, 2026 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Rockford Health Physicians CurrentSince Apr 11, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
MJM Health Agency, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cancer and Blood Disease Center Hematology & Oncology Past Accepting new patients
Richmond Cancer and Blood Disease Center Hematology & Oncology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

1310 N Missouri Ave
Peoria, IL 61603
Phone (309) 308-3800

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: vijaygoyal@glhs.allscriptsdirect.net
  • Direct secure messaging: vgoyal92121@direct.mhemail.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1407966484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST",
            "address_2": "SUITE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052799",
            "telephone_number": "419-222-6595",
            "fax_number": "419-222-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033655",
            "telephone_number": "815-971-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W Market St",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052799",
            "country_code": "US",
            "telephone_number": "419-222-6595",
            "fax_number": "419-222-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 South Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "888-396-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036086343",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036086343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.