Individual provider Active NPI

Anoj Kumar Goel, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bridgeton, MO
National Provider Identifier
1669446498
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2008010948 Issued in MO
Practice address
3394 McKelvey Rd Ste 115
Bridgeton, MO 63044-2531
Phone
(314) 643-7692
Fax
(888) 946-8228
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2008010948 MO Primary

Addresses

Primary practice location

3394 McKelvey Rd Ste 115
Bridgeton, MO 63044-2531

Mailing address

15 Terry Hill LN
Saint Louis, MO 63131-2422
Phone (314) 518-3382

Other practice location 1

3535 S Jefferson Ave Ste 2
Saint Louis, MO 63118-3930
Phone (314) 518-3382

Other identifiers 17

IdentifierTypeStateIssuer
890511DMedicaidNC
PAROtherVAVA PREMIER VPH
PAROtherVAMULTI PLAN
PAROtherVAAMERICAS HEALTH PLAN
0511DOtherNCBC/BS NC
227917OtherVAANTHEM BC/BS
377490OtherVAUHC/MAMSI/MDIPA
PAROtherVAAETNA PPO
-033OtherVACHAMPUS/TRICARE
23855OtherNCSENTARA OHP/SHP
PAROtherVACIGNA
PAROtherVAVHN/P HCS
PAROtherVAMID-ATLANTIC VICARE
PAROtherVACORVEL CORCARE
005836344MedicaidVA
PAROtherVAUSA MANAGE D CARE
PAROtherVAFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080924000187 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 2466454178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3394 McKelvey Rd
Suite 115
Bridgeton, MO 63044-2531
Phone (314) 643-7692

Hospital & facility affiliations

  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bimla Dhan LLC CurrentSince Dec 1, 2008 Accepting new patients
Kirpa LLC Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Simran Behavioral Health Past Accepting new patients

Locations

3394 McKelvey Rd
Ste 115
Bridgeton, MO 63044
Phone (314) 643-7692

3535 S Jefferson Ave
Ste 2
Saint Louis, MO 63118
Phone (314) 577-5778

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.

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1669446498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TERRY HILL LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312422",
            "telephone_number": "314-518-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 MCKELVEY RD STE 115",
            "city": "BRIDGETON",
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            "telephone_number": "314-643-7692",
            "fax_number": "888-946-8228"
        }
    ],
    "practiceLocations": [
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            "address_1": "3535 S Jefferson Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631183930",
            "country_code": "US",
            "telephone_number": "314-518-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEL",
        "first_name": "ANOJ",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2008010948",
            "primary": true
        }
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    "identifiers": [
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        {
            "code": "01",
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        {
            "code": "01",
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            "issuer": "BC/BS NC",
            "identifier": "0511D",
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        {
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            "identifier": "227917",
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        {
            "code": "01",
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            "issuer": "UHC/MAMSI/MDIPA",
            "identifier": "377490",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "PAR",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "-033",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OHP/SHP",
            "identifier": "23855",
            "state": "NC"
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        {
            "code": "01",
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            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHN/P HCS",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID-ATLANTIC VICARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005836344",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGE D CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.