NPIMap

Individual provider Active NPI

Ajay Goel, MD

  • Gastroenterology Physician
  • Rome, NY
National Provider Identifier
1538159405
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1630511 Issued in NY
Practice address
91 Perimeter Rd Ste 120
Rome, NY 13441-4018
Phone
(315) 337-0539
Fax
(315) 337-0645
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1630511 NY Primary

Addresses

Primary practice location

91 Perimeter Rd Ste 120
Rome, NY 13441-4018

Mailing address

91 Perimeter Rd Ste 120
Rome, NY 13441-4018
Phone (315) 337-0539

Other identifiers 7

IdentifierTypeStateIssuer
100016994OtherRR MEDICARE
10060788OtherCDPHP
105078OtherMVP
9610144OtherGHI
000008462OtherEXCELLUS
01127522OtherMEDICAID
040426013748OtherFIDELIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000053 NY Practitioner - Gastroenterology 1951499011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajay Goel Physician PCGroup PAC ID 7113015272, 4 clinicians

Practice addresses (Care Compare)

91 Perimeter Rd
Suite 120
Rome, NY 13441-4018
Phone (315) 337-0539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as individual
Quality
84.61
Improvement activities
40
Cost
64.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy337
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1630511NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Goel Physician PC Gastroenterology CurrentSince Jan 1, 2003 Accepting new patients

Locations

1617 N James St
Ste 400
Rome, NY 13440
Phone (315) 732-8880

91 Perimeter Rd
Ste 120
Rome, NY 13441
Phone (315) 336-4830

105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1538159405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD STE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-0539",
            "fax_number": "315-337-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD STE 120",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-0539",
            "fax_number": "315-337-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1630511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100016994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10060788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "105078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9610144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "000008462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "01127522",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426013748",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.