Active NPI
Juan Domingo Goyzueta, M.D.
- Nephrology Physician
- Monticello, NY
National Provider Identifier
1407995384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 178009
- Practice address
- 139 Forestburgh Rd
Monticello, NY 12701-2348 - Phone
- (845) 791-1624
- Fax
- (845) 791-1689
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 178009 | NY | Primary |
Addresses
Primary practice location
139 Forestburgh Rd
Monticello, NY 12701-2348
Mailing address
PO Box 284
Florida, NY 10921-0284
Phone (845) 651-2478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01617569 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000804 | NY | Practitioner - Nephrology | 5395643639 | Practice locations: Monticello, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Lloyd LN and Rte
Suite 42
Monticello, NY 12701-0001
Phone (845) 791-1624
Hospital & facility affiliations
- DaVita Catskill Dialysis Center
- Garnet Health Medical Center Catskills
- Garnet Health Medical Center Catskills
- Westchester Medical Center
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.79 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- juan.goyzueta@direct.davitaphysiciansolutions.com
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Monticello, NY
- NPI 1508802968
Dialysis facility
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Critical Access Hospital
- Callicoon, NY
- NPI 1649251554
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1407995384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "FLORIDA",
"state": "NY",
"postal_code": "109210284",
"telephone_number": "845-651-2478",
"fax_number": "845-651-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 FORESTBURGH RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127012348",
"telephone_number": "845-791-1624",
"fax_number": "845-791-1689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYZUETA",
"first_name": "JUAN",
"middle_name": "DOMINGO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "178009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01617569",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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.