Individual provider Active NPI

Vinod Goyal, MD

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1669446050
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301064216 Issued in MI
Practice address
2141 E Jefferson Ave
Detroit, MI 48207-4128
Phone
(313) 259-9075
Fax
(313) 259-3722
NPI assigned
Feb 14, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301064216 MI Primary

Addresses

Primary practice location

2141 E Jefferson Ave
Detroit, MI 48207-4128

Mailing address

6576 Chelsea BRG
West Bloomfield, MI 48322-3072
Phone (248) 478-5234

Other identifiers 1

IdentifierTypeStateIssuer
4708041MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050406001167 MI Practitioner - NephrologyPractitioner - Internal Medicine 6608787890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25779 Kelly Rd
Roseville, MI 48066-4973
Phone (586) 777-7772

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidneys and Medical Care PC Nephrology CurrentSince Jan 1, 2006 Accepting new patients
Deon D Middlebrook M D PC Nephrology Past Accepting new patients

Locations

2141 E Jefferson Ave
Detroit, MI 48207
Phone (313) 259-9075

7733 E Jefferson Ave
Detroit, MI 48214
Phone (313) 499-3000

25779 Kelly Rd
Roseville, MI 48066
Phone (586) 774-7987

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16674/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vgoyal1130448@direct.hfhs.org

Organizations & group practices 2

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 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1669446050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6576 CHELSEA BRG",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223072",
            "telephone_number": "248-478-5234",
            "fax_number": "248-478-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074128",
            "telephone_number": "313-259-9075",
            "fax_number": "313-259-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "VINOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301064216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4708041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.