Individual provider Active NPI

Treta Purohit Goyal, M.B.B.S,, M.P.H.

  • Gastroenterology Physician
  • Santa Cruz, CA
National Provider Identifier
1558612770
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A138479 Issued in CA
Practice address
1595 Soquel Dr
Suite 140
Santa Cruz, CA 95065-1719
Phone
(831) 462-4444
Fax
(831) 462-4488
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X A138479 CA Primary

Addresses

Primary practice location

1595 Soquel Dr
Suite 140
Santa Cruz, CA 95065-1719

Mailing address

2331 Montpelier Dr
Ste B
San Jose, CA 95116-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160727000339 CA Practitioner - Gastroenterology 0547491920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Jose Gastroenterology, Inc.Group PAC ID 5597745851, 11 clinicians

Practice addresses (Care Compare)

2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138479CAMDMarriage & Family Therapist
A138479CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Gastroenterology, Inc. Gastroenterology CurrentSince Jul 17, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

231 Oconnor Dr
San Jose, CA 95128
Phone (408) 213-3937

2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: treta.goyal.2@22307.direct.athenahealth.com
  • Direct secure messaging: tgoyal125694@santaclaravalley.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1558612770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR",
            "address_2": "STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "SUITE 140",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-462-4444",
            "fax_number": "831-462-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "TRETA",
        "middle_name": "PUROHIT",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S,, M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A138479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.