Individual provider Active NPI

Amandeep Goyal, MD

  • Cardiovascular Disease Physician
  • Marietta, OH
National Provider Identifier
1710273248
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.123883 Issued in OH
Practice address
400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone
(740) 568-5207
Fax
(740) 434-0578
NPI assigned
Jun 23, 2011
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0443400 KS
Cardiovascular Disease Physician 207RC0000X 2023049398 MO
Cardiovascular Disease Physician 207RC0000X 35.123883 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 302
Marietta, OH 45750-1656

Mailing address

901 E 104TH St # Ms 400S
Kansas City, MO 64131-4517
Phone (816) 931-1883

Other practice location 1

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amandeep.goyal1@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KS, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140807002600 OH Practitioner - Internal MedicinePractitioner - Hospitalist 7113144502 Reassigns benefits to 1 organization
I20240404002528 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113144502 Reassigns benefits to 3 organizations
I20250709001623 MO Practitioner - Cardiovascular Disease (Cardiology) 7113144502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Informe Healthcare Il LLCGroup PAC ID 8123448784, 24 clinicians

Practice addresses (Care Compare)

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

12330 Metcalf Ave
Suite 280
Overland Park, KS 66213-1302
Phone (816) 931-1883

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

502 Roseport Rd
Elwood, KS 66024-7801
Phone (913) 348-4453

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0443400KSMDCardiovascular Disease Physician
2023049398MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Informe Healthcare TN, LLC Internal Medicine CurrentSince Feb 27, 2024 Accepting new patients
Marietta Memorial Hospital Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Informe Healthcare Il LLC Internal Medicine CurrentSince Feb 27, 2024 Accepting new patients
Clearsky Rehabilitation Hospital of Elwood St Joseph LLC Past Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

901 E 104th St
Stop 400S
Kansas City, MO 64131

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

400 Matthew St
Ste 302
Marietta, OH 45750
Phone (740) 568-5207

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: agoyal653434@direct.kuha.org
  • Direct secure messaging: agoyal674775@direct.saint-lukes.org
  • Direct secure messaging: amandeep.goyal@mmhs.medicity.net

Organizations & group practices 6

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 5

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1710273248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST # MS 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-931-1883",
            "fax_number": "816-751-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-568-5207",
            "fax_number": "740-434-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Wornall Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115939",
            "country_code": "US",
            "telephone_number": "816-931-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "AMANDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0443400",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2023049398",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.123883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandeep.goyal1@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 302",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.