Individual provider Active NPI

Parvesh K Goel, M.D.

  • Internal Medicine Physician
  • Canton, MS
National Provider Identifier
1548219082
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15405 Issued in MS
Practice address
1171 Hart St
Canton, MS 39046-4805
Phone
(601) 859-9888
Fax
(601) 859-9966
NPI assigned
May 10, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 15405 MS Primary

Addresses

Primary practice location

1171 Hart St
Canton, MS 39046-4805

Mailing address

PO Box 607
Canton, MS 39046-0607
Phone (601) 859-9888

Other practice location 1

1082A Gluckstadt Rd
Madison, MS 39110-7243
Phone (601) 707-5621

Other practice location 2

1435 Grand Ave
Yazoo City, MS 39194-2651
Phone (662) 746-3555

Other practice location 3

2629 Courthouse Cir
Flowood, MS 39232-9521
Phone (601) 420-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20060814000136 MS Practitioner - Internal Medicine 7416998760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSP Medical Clinic LLCGroup PAC ID 6406859446, 11 clinicians

Practice addresses (Care Compare)

1171 Hart St
Canton, MS 39046-4805
Phone (601) 859-9888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15405MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSP Medical Clinic Internal Medicine CurrentSince Jan 1, 1998 Accepting new patients
PSP Medical Clinic LLC CurrentSince Mar 13, 2006 Accepting new patients
PSP Medical Clinic LLC Past Accepting new patients
PSP Medical Clinic Internal Medicine Past Accepting new patients
North Madison Physician Billing Past Accepting new patients
Madison Hma LLC Past Accepting new patients
Madison County Nursing Home Past Accepting new patients

Locations

1171 Hart St
Canton, MS 39046
Phone (601) 859-9888

2629 Courthouse Cir
Flowood, MS 39232
Phone (601) 362-0611

2629 Courthouse Cir
Ste A
Flowood, MS 39232
Phone (601) 420-4300

544 Keyway Dr
Flowood, MS 39232
Phone (601) 420-4300

1082 Gluckstadt Rd
#A
Gluckstadt, MS 39110

1082A Gluckstadt Rd
Gluckstadt, MS 39110
Phone (601) 707-5621

1435 Grand Ave
Yazoo City, MS 39194
Phone (662) 532-2399

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: parvesh.goel.p1@direct.magnoliamedical.nextgenshare.com
  • Direct secure messaging: pgoel@pmcl-ms.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
PSP Medical Clinic LLCCanton, MS, CCN 258999 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Jan 1, 2013
Jan 1, 1998
Magnolia Medical ClinicsYazoo City, MS, CCN 253855 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
W-2 Managing Employee
Oct 1, 2010
Oct 1, 2010
Oct 1, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1548219082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460607",
            "telephone_number": "601-859-9888",
            "fax_number": "601-859-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-859-9888",
            "fax_number": "601-859-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1082A Gluckstadt Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391107243",
            "country_code": "US",
            "telephone_number": "601-707-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942651",
            "country_code": "US",
            "telephone_number": "662-746-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 Courthouse Cir",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329521",
            "country_code": "US",
            "telephone_number": "601-420-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEL",
        "first_name": "PARVESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.