Active NPI
Nikita Goswami
- Pediatric Rheumatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 60916
- Practice address
- 1919 E Thomas Rd Ste 200
Phoenix, AZ 85016-7710 - Phone
- (602) 933-0909
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Rheumatology Physician | 2080P0216X | 60916 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd Ste 200
Phoenix, AZ 85016-7710
Mailing address
4444 N 25TH St Unit 40
Phoenix, AZ 85016-5645
Phone (330) 329-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20200528002750 | AZ | Practitioner - Pediatric Medicine | 0446470009 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60916 | AZ | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Phoenix Children'S Hospital, Inc. | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
6321 S Ellsworth Rd
Ste 114
Mesa, AZ 85212
9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
1919 E Thomas Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 933-0909
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1033453733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1447677307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 N 25TH ST UNIT 40",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165645",
"telephone_number": "330-329-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSWAMI",
"first_name": "NIKITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2022-07-14",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "AZ",
"license": "60916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.