Active NPI
Sushma Goyal, MD
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1720182249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD7081
- Practice address
- 1328 Southern Ave SE
Suite 316
Washington, DC 20032-4689 - Phone
- (202) 562-4100
- Fax
- (202) 562-4101
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD7081 | DC | Primary |
Addresses
Primary practice location
1328 Southern Ave SE
Suite 316
Washington, DC 20032-4689
Mailing address
1328 Southern Ave SE
Suite 316
Washington, DC 20032-4689
Phone (202) 562-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383341100 | Medicaid | MD | |
| 025205800 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7081 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sushma Goyal | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent Medicine (Family Medicine) Physician
- Washington, DC
- NPI 1528525797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720182249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 SOUTHERN AVE SE",
"address_2": "SUITE 316",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324689",
"telephone_number": "202-562-4100",
"fax_number": "202-562-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 SOUTHERN AVE SE",
"address_2": "SUITE 316",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324689",
"telephone_number": "202-562-4100",
"fax_number": "202-562-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYAL",
"first_name": "SUSHMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD7081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383341100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025205800",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.