Ajay Kumar Goyal, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME74489 Issued in FL

Practice address

2011 S 25TH St
Suite 106
Fort Pierce, FL 34947

Phone

(772) 468-7020

Fax

(772) 468-7698

NPI assigned

Aug 31, 2006

Last updated

Sep 18, 2012By 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 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

Specialty

Diagnostic Radiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian River Radiology PAGroup PAC ID 8628039419, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.87 of 100Reported as group

Quality

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ajay.goyal.1@21123.direct.athenahealth.com

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.

• Ajay K Goyal MD PA

  dba Diagnostic Radiology Center of the Treasure Coast

  • Diagnostic Radiology Physician
  • Fort Pierce, FL
  • NPI 1649340258
  Medicare reassignment NPD Authorized official
• Indian River Radiology PA

  • Diagnostic Radiology Physician
  • Vero Beach, FL
  • NPI 1689616864
  Medicare reassignment Care Compare group NPD
• Beacon MD LLC

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1710734496
  NPD Authorized official
• Diagnostic Radiology Center of the Treasure Coast

  dba Ajay K Goyal MD PA

  • Diagnostic Radiology Physician
  • Fort Pierce, FL
  • NPI 1659441236
  NPD Authorized official
• Paul H Skaggs MD PA

  • Diagnostic Radiology Physician
  • Vero Beach, FL
  • NPI 1861436644
  NPD
• White-Wilson Medical Center PA

  dba White-Wilson Medical Center

  • Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1467437277
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1689786774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST",
            "address_2": "SUITE 106",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947",
            "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 S 25TH ST",
            "address_2": "SUITE 106",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947",
            "telephone_number": "772-468-7020",
            "fax_number": "772-468-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "AJAY",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_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": []
}

• Kathryn Cheryl Gose, LPN
• Jeffrey S Gottfried, D.O.
• Erica D Gould, PT
• Joy M Gourm
• Laura B. Gowdy, LCSW
• Anil K Goyal, MD
• Grace Therapies
• Grace Therapies, LLC
• Grace Wellness Center LLC
• Summer Smith Gragg, MSW

• Diagnostic Radiology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.