NPIMap

Individual provider Active NPI

Arvind Goel, MD

  • Nephrology Physician
  • Cordova, TN
National Provider Identifier
1447560719
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23278 Issued in MS
Practice address
300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018-7527
Phone
(901) 767-0101
Fax
(901) 767-0304
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 51350 TN
Nephrology Physician 207RN0300X 23278 MS Primary

Addresses

Primary practice location

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018-7527

Mailing address

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018-7527
Phone (901) 767-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140604002074 TN Practitioner - Nephrology 4587813787 Reassigns benefits to 1 organization
I20210209000922 MS Practitioner - Nephrology 4587813787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mittal Kidney and Dialysis, PCGroup PAC ID 9830152958, 6 clinicians

Practice addresses (Care Compare)

300 S Walnut Bend Rd
Suite 12
Cordova, TN 38018-7527
Phone (901) 767-0101

7620 Clarington Cove
Southaven, MS 38671-4739
Phone (901) 767-0101

7684 Airways Blvd
Southaven, MS 38671-5304
Phone (901) 767-0101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.16 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23278MSMDNephrology Physician
51350TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mittal Kidney and Dialysis PC Single Specialty CurrentSince Aug 1, 2014 Accepting new patients
Mittal Kidney and Dialysis Single Specialty CurrentSince Nov 15, 2020 Accepting new patients
Memphis Neurology PLLC Single Specialty PastSince Aug 1, 2021 Accepting new patients
Kidney Care Center,P.L.L.C. Single Specialty Past Accepting new patients

Locations

7620 Clarington Cv
Southaven, MS 38671
Phone (901) 767-0101

7684 Airways Blvd
Southaven, MS 38671
Phone (901) 405-0275

300 S Walnut Bend Rd
Ste 12
Cordova, TN 38018
Phone (901) 767-0101

6027 Walnut Grove Rd
Ste 402
Memphis, TN 38120
Phone (901) 767-0101

Interoperability endpoints

  • Direct secure messaging: arvind.goel@mkd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA
  • Direct secure messaging: agoel22153@mlh.direct-ci.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1447560719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WALNUT BEND RD",
            "address_2": "STE 12",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187527",
            "telephone_number": "901-767-0101",
            "fax_number": "901-767-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WALNUT BEND RD",
            "address_2": "STE 12",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187527",
            "telephone_number": "901-767-0101",
            "fax_number": "901-767-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "ARVIND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "51350",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "23278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.