Organization Active NPI

Sushma Goyal

  • Adolescent Medicine (Family Medicine) Physician
  • Washington, DC
National Provider Identifier
1528525797
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
Legal business name
SUSHMA GOYAL
Practice address
1328 Southern Ave SE Ste 316
Washington, DC 20032-4689
Phone
(202) 562-4100
Fax
(201) 562-4101
NPI assigned
Feb 25, 2019
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. Sushma Goyal, MDNPI 1720182249
Title
Owner
Phone
(202) 562-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X NU Primary

Addresses

Primary practice location

1328 Southern Ave SE Ste 316
Washington, DC 20032-4689

Mailing address

10821 Barn Wood LN
Potomac, MD 20854-1329
Phone (301) 299-4944

National Provider Directory

National Provider Directory

Locations

1328 Southern Ave SE
Ste 316
Washington, DC 20032
Phone (202) 562-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1528525797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 BARN WOOD LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541329",
            "telephone_number": "301-299-4944",
            "fax_number": "202-562-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE STE 316",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-562-4100",
            "fax_number": "201-562-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA GOYAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-562-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.