Individual provider Active NPI

Sharad Goel, M.D.

  • Nephrology Physician
  • Fairfield, OH
National Provider Identifier
1861438657
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35-074641 Issued in OH
Practice address
1210 Hicks Blvd
Fairfield, OH 45014-1921
Phone
(513) 939-3975
Fax
(513) 939-3985
NPI assigned
Jun 21, 2006
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35-074641 OH Primary
Nephrology Physician 207RN0300X 33981 KY

Addresses

Primary practice location

1210 Hicks Blvd
Fairfield, OH 45014-1921

Mailing address

1210 Hicks Blvd
Fairfield, OH 45014-1921
Phone (513) 939-3975

Other identifiers 4

IdentifierTypeStateIssuer
110173268OtherOHMEDICARE RAILROAD
64339815MedicaidKY
200454700MedicaidIN
2091301MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN3 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
I20100920000523 KY Practitioner - Nephrology 3779547963 Reassigns benefits to 1 organization
I20110216000211 OH Practitioner - Nephrology 3779547963 Reassigns benefits to 1 organization
I20130603000700 IN Practitioner - Nephrology 3779547963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
Suite 360
Middletown, OH 45005-5179
Phone (513) 217-5720

721 Rudolph Way
Lawrenceburg Dialysis
Greendale, IN 47025-8378
Phone (812) 537-4240

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33981KYMDNephrology Physician
35-074641OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Jan 1, 1998 Accepting new patients

Locations

721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

11135 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 793-2220

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

4805 Montgomery Rd
Ste 156
Cincinnati, OH 45212
Phone (513) 861-0800

1210 Hicks Blvd
Fairfield, OH 45014
Phone (513) 939-1120

7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524

7335 Yankee Rd
Ste 102
Liberty Township, OH 45044

200 Medical Center Dr
Ste 360
Middletown, OH 45005
Phone (513) 217-5720

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sgoel27214@direct-prd.stelizabeth.com
  • Direct secure messaging: sharad.goel.p127@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: sharad.goel.p2@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: sharadgoel@tkhc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1861438657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HICKS BLVD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141921",
            "telephone_number": "513-939-3975",
            "fax_number": "513-939-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HICKS BLVD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141921",
            "telephone_number": "513-939-3975",
            "fax_number": "513-939-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-074641",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "33981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110173268",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64339815",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454700",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.