Individual provider Active NPI

Rita Bishnoi Goyal, M.D.

  • Family Medicine Physician
  • Mountain BRK, AL
National Provider Identifier
1437377348
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.22789 Issued in AL
Practice address
217 Country Club Park Ste 623
Mountain BRK, AL 35213-4237
Phone
(205) 276-1895
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.22789 AL Primary

Addresses

Primary practice location

217 Country Club Park Ste 623
Mountain BRK, AL 35213-4237

Mailing address

217 Country Club Park Ste 623
Mountain BRK, AL 35213-4237
Phone (205) 276-1895

Other practice location 1

2910 Crescent Ave Ste 100
Homewood, AL 35209-2522
Phone (205) 380-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070626000342 AL Practitioner - Family Practice 6709985179 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.22789ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health PC Family Medicine CurrentSince Aug 14, 2019 Accepting new patients
Hospital Medicine Associates LLC Family Medicine Past Accepting new patients

Locations

2910 Crescent Ave
Ste 100
Homewood, AL 35209
Phone (205) 380-8820

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1437377348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COUNTRY CLUB PARK STE 623",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134237",
            "telephone_number": "205-276-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COUNTRY CLUB PARK STE 623",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134237",
            "telephone_number": "205-276-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Crescent Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352092522",
            "country_code": "US",
            "telephone_number": "205-380-8820",
            "fax_number": "205-380-8825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "RITA",
        "middle_name": "BISHNOI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.22789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.