Individual provider Active NPI

Amitabh Goel, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakewood Ranch, FL
National Provider Identifier
1669408910
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME77381 Issued in FL
Practice address
8936 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6419
Phone
(941) 923-2500
NPI assigned
Jun 25, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 24943 KS
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME77381 FL Primary

Addresses

Primary practice location

8936 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6419

Mailing address

8936 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6419
Phone (941) 923-2500

Other practice location 1

842 Sunset Lake Blvd
Venice, FL 34292-7551
Phone (941) 923-2500

Other practice location 2

3945 Clark Rd
Sarasota, FL 34233-2364
Phone (941) 923-2500

Other identifiers 1

IdentifierTypeStateIssuer
100422340AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170306000850 FL Practitioner - Physical Medicine and Rehabilitation 6204939432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

8936 77TH E Ter
Suite 101
Lakewood Ranch, FL 34202-6419
Phone (941) 758-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77381FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
24943KSMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. Pain Medicine CurrentSince Nov 2, 2016 Accepting new patients
Pain Medicine Associates P.a. Past Accepting new patients
Brevard Orthopaedic Spine & Pain Clinic Inc Pain Medicine Past Accepting new patients

Locations

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

8936 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 758-7300

3945 Clark Rd
Sarasota, FL 34233
Phone (941) 923-2500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amitabh.goel.p2@direct.painreliefcenters.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1669408910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-923-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-923-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Sunset Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342927551",
            "country_code": "US",
            "telephone_number": "941-923-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3945 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342332364",
            "country_code": "US",
            "telephone_number": "941-923-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEL",
        "first_name": "AMITABH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KS",
            "license": "24943",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME77381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100422340A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.