Jagpal S Gosal, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

114329 Issued in MO

Practice address

1912 NW Copper Oaks Cir
Blue Springs, MO 64015-8300

Phone

(660) 829-3700

Fax

(660) 829-3701

NPI assigned

Dec 12, 2005

Last updated

Jun 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Transformative Effects LLC

  • Clinical Social Worker
  • Lee's Summit, MO
  • NPI 1104296193
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1669457743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64013",
            "telephone_number": "660-287-2956",
            "fax_number": "816-229-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "660-829-3700",
            "fax_number": "660-829-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSAL",
        "first_name": "JAGPAL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "114329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209734532",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Lynn Goldsworthy, D.C.
• Levi B Gonzalez, DC
• Leon F Gooden, CRNA
• Heidi Gordon
• Erica A Gorman, MSN, APRN, FNP-C
• Gracelandtransportation LLC
• Charles M Graham, DC
• Maqual Renee Graham, PHARM.D.
• Lisa A. Grant, M.S., CCC-SLP
• Bonnie Lee Gray

• Psychiatry Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.