Individual provider Active NPI

Nikhil Gopal

  • Urology Physician
  • Bethesda, MD
National Provider Identifier
1629422563
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D92371 Issued in MD
Practice address
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone
(410) 955-5000
NPI assigned
Apr 18, 2016
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X 67953 TN
Urology Physician 208800000X D92371 MD Primary

Addresses

Primary practice location

8600 Old Georgetown Rd
Bethesda, MD 20814-1422

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 2

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220714000283 MD Practitioner - Urology 0143601799 Reassigns benefits to 1 organization
I20220714000384 DC Practitioner - Urology 0143601799 Reassigns benefits to 1 organization
I20231005003539 TN Practitioner - Urology 0143601799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D92371MDMDUrology Physician
67953TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Sep 20, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jun 1, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Sep 20, 2023 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jun 1, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

6555 Quince Rd
Memphis, TN 38119
Phone (901) 515-3150

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

Interoperability endpoints

  • Direct secure messaging: ngopal31327@mlh.direct-ci.com
  • Direct secure messaging: ngopal971280@direct.hopkinsmedicine.org

Organizations & group practices 6

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 4

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1629422563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141422",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033409",
            "country_code": "US",
            "telephone_number": "901-545-6969",
            "fax_number": "901-545-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "NIKHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "67953",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D92371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.