DR. ANAMIKA GOENKA MD
NPI 1003977414
Hospitalist in Frisco, TX

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
12400 DALLAS PKWY, FRISCO, TX 75033(469) 495-2540(215) 453-4991 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2021, Feb 24, 2016 (2 updates tracked since 2016).

About Dr. Anamika Goenka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANAMIKA GOENKA MD (NPI 1003977414) is an individual hospitalist provider in Frisco, Texas, licensed in Texas (Q9163) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2001).

NPPES Registry Identity

NPI1003977414
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANAMIKA GOENKACredential: MD
Location Address12400 DALLAS PKWYFrisco, TX 75033-4224
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Fax(215) 453-4991
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 31, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
NPI 1003977414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · Q9163
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD429570 (PA)
12400 DALLAS PKWY, Frisco, TX 75033

Other Identifiers 1

Medicaid102041103PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Anamika Goenka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325048770
PECOS Enrollment IDI20161026000286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
256 services117 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
184 services177 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
174 services132 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services73 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers38 claims38 services$14.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers51 claims51 services$62.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
12400 DALLAS PKWY
FRISCO, TX 75033
Pharmacist
12400 DALLAS PKWY
FRISCO, TX 75033
General Acute Care Hospital
12400 DALLAS PKWY
FRISCO, TX 75033
Internal Medicine (Gastroenterology)
12400 DALLAS PKWY
FRISCO, TX 75033
Internal Medicine (Gastroenterology)
12400 DALLAS PKWY
FRISCO, TX 75033
Speech-Language Pathologist
12400 DALLAS PKWY
FRISCO, TX 75033
Obstetrics & Gynecology
12400 DALLAS PKWY, LABOR & DELIVERY
FRISCO, TX 75033
Emergency Medicine
12400 DALLAS PKWY
FRISCO, TX 75033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anamika Goenka's NPI number?

The NPI number for Anamika Goenka is 1003977414. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Anamika Goenka located?

Anamika Goenka practices at 12400 Dallas Pkwy, Frisco, TX 75033. The listed phone number is (469) 495-2540.

What is Anamika Goenka's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Anamika Goenka enrolled in Medicare?

Yes. Anamika Goenka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anamika Goenka accept?

Health plans from Blue Cross and Blue Shield of Texas list Anamika Goenka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anamika Goenka affiliated with any hospitals?

According to CMS data, Anamika Goenka is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., Texas Health Presbyterian Hospital Plano and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Anamika Goenka was last updated on December 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.