Individual provider Active NPI

Suman Goel

  • Home Health Agency
  • Beavercreek, OH
National Provider Identifier
1932705977
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
4308 Frontenac Dr
Beavercreek, OH 45440-3244
Phone
(505) 301-3727
NPI assigned
Dec 6, 2020
Reactivated
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4308 Frontenac Dr
Beavercreek, OH 45440-3244

Mailing address

4308 Frontenac Dr
Beavercreek, OH 45440-3244
Phone (505) 301-3727

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

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1932705977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 FRONTENAC DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403244",
            "telephone_number": "505-301-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 FRONTENAC DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403244",
            "telephone_number": "505-301-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "SUMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "deactivation_date": "2020-12-08",
        "reactivation_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.