Individual provider Active NPI

Jennifer Suzanne Goss, MD

  • Obstetrics & Gynecology Physician
  • Kyle, TX
National Provider Identifier
1710180906
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M4111 Issued in TX
Practice address
1180 Seton Pkwy
Suite 340
Kyle, TX 78640-6178
Phone
(512) 504-0851
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M4111 TX Primary

Addresses

Primary practice location

1180 Seton Pkwy
Suite 340
Kyle, TX 78640-6178

Mailing address

1601 Rio Grande St
Suite 340
Austin, TX 78701-1137
Phone (512) 324-8960

Other identifiers 2

IdentifierTypeStateIssuer
194598204MedicaidTX
194598205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080811000749 TX Practitioner - Obstetrics/Gynecology 0143394023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4111TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Obstetrics & Gynecology Current Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Feb 1, 2014 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1180 Seton Pkwy
Ste 340
Kyle, TX 78640
Phone (512) 504-0851

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812

Interoperability endpoints

  • Direct secure messaging: jennifer.goss.1@8363.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1710180906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RIO GRANDE ST",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011137",
            "telephone_number": "512-324-8960",
            "fax_number": "512-324-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 340",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-504-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M4111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194598204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194598205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.