Individual provider Active NPI

Vidyottama Goel, M.D.

  • General Practice Physician
  • Hummelstown, PA
National Provider Identifier
1730412040
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD038777L Issued in PA
Practice address
172 Christian Dr.
Hummelstown, PA 17036-7810
Phone
(717) 566-2739
Fax
(717) 566-2739
NPI assigned
Sep 18, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD038777L PA Primary

Addresses

Primary practice location

172 Christian Dr.
Hummelstown, PA 17036-7810

Mailing address

172 Christian Dr.
Hummelstown, PA 17036-7810
Phone (717) 566-2739

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

LicenseStateTypeSpecialty
MD038777LPAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1730412040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CHRISTIAN DR.",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367810",
            "telephone_number": "717-566-2739",
            "fax_number": "717-566-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CHRISTIAN DR.",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367810",
            "telephone_number": "717-566-2739",
            "fax_number": "717-566-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "VIDYOTTAMA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD038777L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.