Organization Active NPI

Digestive Disease and Cancer Institute PA

  • Gastroenterology Physician
  • Palm Harbor, FL
National Provider Identifier
1942277181
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME72984 Issued in FL
Legal business name
DIGESTIVE DISEASE AND CANCER INSTITUTE PA
Practice address
34653 US 19 N
Palm Harbor, FL 34684-2152
Phone
(727) 771-6135
Fax
(727) 771-2514
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Anoop Goyal, M.D.NPI 1164485751
Title
Owner
Phone
(727) 771-6135

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X ME72984 FL Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X ME72929 FL

Addresses

Primary practice location

34653 US 19 N
Palm Harbor, FL 34684-2152

Mailing address

34653 US 19 N
Palm Harbor, FL 34684
Phone (727) 771-6135

Other identifiers 2

IdentifierTypeStateIssuer
253240900MedicaidFL
253237900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000716 FL Part B Supplier - Clinic/Group Practice 5991762825 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

34653 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 771-6135

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1942277181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34653 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-771-6135",
            "fax_number": "727-771-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34653 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-771-6135",
            "fax_number": "727-771-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE AND CANCER INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "ANOOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-771-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME72984",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME72929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253240900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253237900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.