Individual provider Active NPI

Kavita Goyal, M.D.

  • Dermatology Physician
  • Silver Spring, MD
National Provider Identifier
1912361536
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0088309 Issued in MD
Practice address
3801 International Dr Ste 211
Silver Spring, MD 20906-1550
Phone
(301) 598-4500
Fax
(301) 598-3797
NPI assigned
Apr 9, 2016
Last updated
Feb 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0088309 MD Primary

Addresses

Primary practice location

3801 International Dr Ste 211
Silver Spring, MD 20906-1550

Mailing address

PO Box 769
Olney, MD 20830-0769
Phone (301) 598-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20201210000400 DC Practitioner - Dermatology 8729336854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nakul Goyal, MD, PAGroup PAC ID 8921130733, 2 clinicians

Practice addresses (Care Compare)

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1177
Removal or shaving of skin growth67
Skin biopsy314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29624MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nakul Goyal, MD, PA CurrentSince Jan 27, 2021 Accepting new patients

Locations

3801 International Dr
Ste 205
Silver Spring, MD 20906
Phone (301) 598-4500

3801 International Dr
Ste 211
Silver Spring, MD 20906
Phone (301) 598-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABGAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1912361536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208300769",
            "telephone_number": "301-598-4500",
            "fax_number": "301-598-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR STE 211",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-4500",
            "fax_number": "301-598-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "KAVITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0088309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.