Individual provider Active NPI

Puneet Goenka, M.D.

  • Gastroenterology Physician
  • Johnson City, TN
National Provider Identifier
1720082126
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD27475 Issued in TN
Practice address
310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604-6063
Phone
(423) 929-7111
Fax
(423) 929-9448
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD27475 TN Primary

Addresses

Primary practice location

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604-6063

Mailing address

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604-6063
Phone (423) 929-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100824000971 TN Practitioner - Gastroenterology 1850415134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
JS Weill Medical College, Cornell University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates of Northeast Tennessee, PCGroup PAC ID 7416923396, 16 clinicians

Practice addresses (Care Compare)

310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6063
Phone (423) 929-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy176
Upper gastrointestinal (GI) endoscopy for acid reflux270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates of Northeast Tennessee, PC Gastroenterology CurrentSince Jul 1, 1999 Accepting new patients
Endoscopy Center of Northeast Tennessee, PC PastSince Nov 16, 1992 Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

Organizations & group practices 2

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 6

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1720082126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD",
            "address_2": "STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046063",
            "telephone_number": "423-929-7111",
            "fax_number": "423-929-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD",
            "address_2": "STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046063",
            "telephone_number": "423-929-7111",
            "fax_number": "423-929-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOENKA",
        "first_name": "PUNEET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD27475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.