Organization Active NPI

Sonny Goel MD LLC

Doing business as Goel Vision

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1821461559
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SONNY GOEL MD LLC
Doing business as
Goel Vision
Practice address
1104 Kenilworth Dr Ste 200
Towson, MD 21204-3103
Phone
(410) 888-2020
NPI assigned
Nov 3, 2015
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Sanjay Desh Goel, MDNPI 1265538540
Title
Physician/Ceo
Phone
(410) 888-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1104 Kenilworth Dr Ste 200
Towson, MD 21204-3103

Mailing address

1104 Kenilworth Dr Ste 200
Towson, MD 21204-3103
Phone (410) 888-2020

Other names 1

  • Goel Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160304000234 MD Part B Supplier - Clinic/Group Practice 9032415864 Receives reassigned benefits from 3 practitioners
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Locations

6231 N Charles St
Ste 101
Baltimore, MD 21212
Phone (410) 888-2020

8160 Maple Lawn Blvd
Ste 140
Fulton, MD 20759
Phone (301) 490-3036

1104 Kenilworth Dr
Ste 100
Towson, MD 21204

1104 Kenilworth Dr
Ste 200
Towson, MD 21204
Phone (410) 339-7200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1821461559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043103",
            "telephone_number": "410-888-2020",
            "fax_number": "667-223-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043103",
            "telephone_number": "410-888-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY GOEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "DESH",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "410-888-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goel Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.