Yatish Goyal MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35074511G Issued in OH

Legal business name

YATISH GOYAL MD INC

Practice address

970 E Washington St
Suite 204
Medina, OH 44256-3332

Phone

(330) 725-7277

Fax

(330) 725-7266

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Yatish Goyal, MDNPI 1023297587

Title

President

Phone

(330) 725-7277

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yatish Goyal, M.D.

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1023297587

  OH

  Medicare reassignment Care Compare group Authorized official
• Mazen Jarach, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1962624924

  Internal Medicine, OH

  Medicare reassignment Care Compare group NPD
• Priyanka Sahni, MD

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1992742159

  OH

  Medicare reassignment Care Compare group
• Cynthia S Mackey, CNP

  • Adult Health Nurse Practitioner
  • Beachwood, OH
  • NPI 1366784233

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1437145281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-725-7277",
            "fax_number": "330-725-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-725-7277",
            "fax_number": "330-725-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YATISH GOYAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "YATISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-725-7277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074511G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN#",
            "identifier": "0884014",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138261",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN#",
            "identifier": "0884012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Wulff, CRNA
• Deborah K Wyler, RPH
• Caitlin Aria Wynne
• Brandi Yackee
• Sharon Yarnell, LISW
• Jason Yocum, DPT
• Lindsey N Yokum, CNP
• Tristan Yonek, LPCC
• York Township Trustees
• Austin Youker

• Internal Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.