DR. SUMEET KUMAR GOEL D.O.
NPI 1073824470
Family Medicine in Stevens Point, WI
About Dr. Sumeet Kumar Goel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMEET KUMAR GOEL D.O. (NPI 1073824470) is an individual family medicine provider in Stevens Point, Wisconsin, licensed in Wisconsin (60024-21) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Thedacare Medical Center - Wild Rose, and maintains a secondary practice location in Wild Rose.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sumeet Kumar Goel D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sumeet Goel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 25 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Medical Center - Wild Rose
Critical Access Hospitals · Wild Rose, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54481 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STEVENS POINT, WI 54481
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 Sumeet Goel's NPI number?
The NPI number for Sumeet Goel is 1073824470. It was assigned to this individual provider in the NPPES registry on June 30, 2010.
Where is Sumeet Goel located?
Sumeet Goel practices at 2501 Main St, Stevens Point, WI 54481. The listed phone number is (800) 942-5330.
What is Sumeet Goel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sumeet Goel enrolled in Medicare?
Yes. Sumeet Goel 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.
Which organizations bill Medicare for Sumeet Goel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumeet Goel reassigns Medicare benefits to 2 organizations: La Clinica De Los Campesinos, Inc (Stevens Point, WI) and Thedacare, Incorporated (New London, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sumeet Goel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumeet Goel accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Sumeet Goel 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 Sumeet Goel affiliated with any hospitals?
According to CMS data, Sumeet Goel is affiliated with Thedacare Medical Center - Wild Rose.
When was this NPI record last updated?
The NPPES record for Sumeet Goel was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sumeet Kumar Goel, D.O. · NPI 1073824470
Family Medicine physician in Stevens Point, Wisconsin. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1073824470 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 60024-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 MAIN ST, Stevens Point, WI 54481-4000
- **Phone:** (800) 942-5330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): La Clinica De Los Campesinos, Inc (NPI 1790786929, Stevens Point, WI); Thedacare, Incorporated (NPI 1376656959, New London, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073824470) · Data from the CMS NPPES public registry.