NPIMap

Organization Active NPI

Ajay K Goyal MD PA

  • Diagnostic Radiology Physician
  • Fort. Pierce, FL
National Provider Identifier
1649340258
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME74489 Issued in FL
Legal business name
AJAY K GOYAL MD PA
Practice address
2011 South 25TH Street
Suite 106
Fort. Pierce, FL 34947-4795
Phone
(772) 468-7020
Fax
(772) 468-7698
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Ajay K Goyal, MDNPI 1689786774
Title
President
Phone
(772) 468-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME74489 FL Primary

Addresses

Primary practice location

2011 South 25TH Street
Suite 106
Fort. Pierce, FL 34947-4795

Mailing address

2011 South 25TH Street
Suite 106
Fort. Pierce, FL 34947-4795
Phone (772) 468-7020

Other identifiers 1

IdentifierTypeStateIssuer
254137800MedicaidFL

Other names 1

  • Diagnostic Radiology Center of the Treasure Coast Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124001007 FL Part B Supplier - Clinic/Group Practice 5092765420 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Pierce, FL; Port St Lucie, FL; Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1501 SE Lennard Rd
Ste 1501
Port St Lucie, FL 34952
Phone (772) 468-7020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1649340258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SOUTH 25TH STREET",
            "address_2": "SUITE 106",
            "city": "FORT. PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-468-7020",
            "fax_number": "772-468-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SOUTH 25TH STREET",
            "address_2": "SUITE 106",
            "city": "FORT. PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-468-7020",
            "fax_number": "772-468-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY K GOYAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-468-7020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME74489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254137800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Radiology Center of the Treasure Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort. Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.