Active NPI
Himan Goli, M.D
- Internal Medicine Physician
- Cheverly, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD449018
- Practice address
- 3001 Hospital Drive
Cheverly, MD 20785 - Phone
- (301) 618-3774
- NPI assigned
- Sep 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD449018 | PA | Primary |
| Hospitalist Physician | 208M00000X | MD449018 | PA |
Addresses
Primary practice location
3001 Hospital Drive
Cheverly, MD 20785
Mailing address
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (301) 618-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558108700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| St Davids Healthcare Partnership LP LLP | Past | Accepting new patients |
Locations
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Organizations & group practices 4
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
dba North Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1558679993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "301-618-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DRIVE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "20785",
"telephone_number": "301-618-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLI",
"first_name": "HIMAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD449018",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD449018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558108700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
- Rewina Gebrechristos
- David John Gibson, P.A.
- Amber Gilchrist, M.D.
- Banchayehu Gizaw, NP
- Jennifer Sarah Hahn Glazer, PA-C
- Patrick Gollegly, LGPC, CAC-AD
- Great Expectations (Greater Compassion Home Health Care,Inc)
- Great Expectations, Inc (Greater Compasion Home Healthcare, Inc)
- Great Help Medical Supply LLC
- Linda D Green, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.