Individual provider Active NPI

Satish K Goyal, M.D.

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1528056538
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F7473 Issued in TX
Practice address
2540 N Galloway Ave
Suite 205
Mesquite, TX 75150-6306
Phone
(972) 613-4185
Fax
(972) 613-4788
NPI assigned
Oct 12, 2005
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F7473 TX Primary

Addresses

Primary practice location

2540 N Galloway Ave
Suite 205
Mesquite, TX 75150-6306

Mailing address

2540 N Galloway Ave
Suite 205
Mesquite, TX 75150-6306
Phone (972) 613-4185

Other identifiers 1

IdentifierTypeStateIssuer
0353682-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101207000186 TX Practitioner - Internal Medicine 5799972535 Reassigns benefits to 1 organization
Practice locations: Mesquite, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Dallas Medical Physician Group Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1528056538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "SUITE 205",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-613-4185",
            "fax_number": "972-613-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "SUITE 205",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "972-613-4185",
            "fax_number": "972-613-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "SATISH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F7473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353682-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.