Active NPI
Radhika Gogoi, MD
- Gynecologic Oncology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 4301500861
- Practice address
- 4100 John R St
Detroit, MI 48201-2013 - Phone
- (800) 527-6266
- Fax
- (313) 576-8767
- NPI assigned
- Dec 12, 2006
- Last updated
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 212427 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | MD435150 | PA | |
| Gynecologic Oncology Physician | 207VX0201X | 4301500861 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Detroit, MI 48201-2013
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006
Other practice location 1
100 N Academy Ave
Danville, PA 17822-4750
Phone (570) 271-6298
Other practice location 2
4100 Beecher Rd Ste A
Flint, MI 48532-3661
Phone (810) 342-5899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Hahnemann University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301500861 | MI | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| University Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| Obstetrics & Gynecology Fund | Obstetrics & Gynecology | Past | Accepting new patients |
| Barbara Ann Karmanos Cancer Hospital | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
18800 Hubbard Dr
Dearborn, MI 48126
Phone (313) 576-9182
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 7
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.
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Obstetrics & Gynecology
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
-
dba Wayne State University Physician Group
- Counselor
- Detroit, MI
- NPI 1447465661
-
- Obstetrics & Gynecology Physician
- Wynnewood, PA
- NPI 1164556973
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1972663433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136",
"telephone_number": "313-448-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "800-527-6266",
"fax_number": "313-576-8767"
}
],
"practiceLocations": [
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178224750",
"country_code": "US",
"telephone_number": "570-271-6298",
"fax_number": "570-271-5841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4100 Beecher Rd Ste A",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323661",
"country_code": "US",
"telephone_number": "810-342-5899",
"fax_number": "810-342-3855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOGOI",
"first_name": "RADHIKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "212427",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD435150",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MI",
"license": "4301500861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.