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DR. RHONDA GOUL M.D.
NPI 1023086725
Family Medicine in Indianapolis, IN

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237(317) 689-0400(317) 458-1917 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rhonda Goul M.d. NPPES

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

DR. RHONDA GOUL M.D. (NPI 1023086725) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01057938A) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1023086725
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RHONDA GOULCredential: M.D.
Location Address5128 E STOP 11 RD STE 38Indianapolis, IN 46237-6338
Mailing Address5128 E Stop 11 Rd Ste 38Indianapolis, IN 46237-6338 · (317) 689-0400 · Fax (317) 458-1917
Phone(317) 689-0400
Fax(317) 458-1917
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateMarch 9, 2006
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedApril 7, 2021
✔ NPI 1023086725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01057938A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5128 E STOP 11 RD STE 38, Indianapolis, IN 46237
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Other Identifiers 3

Other01057938AIN · State Medical License
OtherBG9127817Dea Number
Other01057938BIN · State Csr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Rhonda Goul M.d. 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 ID5890749287
PECOS Enrollment IDI20050309000248
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
240 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
133 services133 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
86 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
31 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims39 services$5.55 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
2 suppliers12 claims12 services$64.12 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.37 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers15 claims1,073 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers33 claims33 services$190.67 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$22.03 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

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

GOUL FAMILY MEDICINE LLC
Family Medicine
5128 E STOP 11 RD STE 38
INDIANAPOLIS, IN 46237
Marion County (317) 410-0371

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 Rhonda Goul's NPI number?

The NPI number for Rhonda Goul is 1023086725. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Rhonda Goul located?

Rhonda Goul practices at 5128 E Stop 11 Rd Ste 38, Indianapolis, IN 46237. The listed phone number is (317) 689-0400.

What is Rhonda Goul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rhonda Goul enrolled in Medicare?

Yes. Rhonda Goul 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 Rhonda Goul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rhonda Goul 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 Rhonda Goul affiliated with any hospitals?

According to CMS data, Rhonda Goul is affiliated with Northwestern Medicine Central Dupage Hospital, Indiana University Health, Community Hospital East, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Rhonda Goul was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.