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RAKESH KUMAR GOYAL M.D.
NPI 1093956054
Hospitalist in Garden City, NY

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
520 FRANKLIN AVE STE 103, GARDEN CITY, NY 11530(917) 297-8977(516) 366-1649 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Sep 26, 2022, Oct 16, 2019 (3 updates tracked since 2019).

About Rakesh Kumar Goyal M.d. NPPES

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

RAKESH KUMAR GOYAL M.D. (NPI 1093956054) is an individual hospitalist provider in Garden City, New York, licensed in New York (258976) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains a secondary practice location in Valley Stream.

NPPES Registry Identity

NPI1093956054
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAKESH KUMAR GOYALCredential: M.D.
Location Address520 FRANKLIN AVE STE 103Garden City, NY 11530-5814
Mailing Address900 Franklin AveValley Stream, NY 11580-2145 · (917) 297-8977
Phone(917) 297-8977
Fax(516) 366-1649
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 20, 2009
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1093956054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 258976
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 258976 (NY)
520 FRANKLIN AVE STE 103, Garden City, NY 11530
Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 Franklin AveValley Stream, NY 11580-2145 · Phone (516) 256-6000

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

Rakesh Kumar Goyal 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 ID6305025453
PECOS Enrollment IDI20181128002114
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Rakesh Goyal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rakesh K Goyal Medical PC
Same address
Internal Medicine
520 FRANKLIN AVE STE 103
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
NPI 1598625808 (516) 280-3842
North Shore - Lij Medical PC
4.5 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Southwest Suffolk Medical PC
14 mi
Family Medicine
502 S WELLWOOD AVE
Lindenhurst, NY 11757
  • Reassigned Medicare billing, New York enrollment
  • 348 clinicians in this Medicare group
NPI 1770919763 (631) 226-8600
Cogent Medical Care PC
35 mi
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
NPI 1912941238 (631) 687-4131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
355 services139 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.
149 services89 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.
100 services97 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%487 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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 4

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

520 FRANKLIN AVENUE PHARMACY
Pharmacy (Community/Retail Pharmacy)
520 FRANKLIN AVE STE 103
GARDEN CITY, NY 11530
Nassau County (516) 280-7960
RAKESH K GOYAL MEDICAL PC
Internal Medicine
520 FRANKLIN AVE STE 103
GARDEN CITY, NY 11530
Nassau County (516) 280-3842
RAKESH GOYAL PHYSICIAN PC
Internal Medicine
520 FRANKLIN AVE STE 103
GARDEN CITY, NY 11530
Nassau County (516) 280-3842
MRS. PAYAL SRIVASTAVA FNP
Nurse Practitioner (Family)
520 FRANKLIN AVE STE 103
GARDEN CITY, NY 11530
Nassau County (516) 280-3842

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 Rakesh Goyal's NPI number?

The NPI number for Rakesh Goyal is 1093956054. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Rakesh Goyal located?

Rakesh Goyal practices at 520 Franklin Ave Ste 103, Garden City, NY 11530. The listed phone number is (917) 297-8977.

What is Rakesh Goyal's specialty?

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

Is Rakesh Goyal enrolled in Medicare?

Yes. Rakesh Goyal 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 Rakesh Goyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Goyal reassigns Medicare benefits to 4 organizations: Rakesh K Goyal Medical PC (Garden City, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Southwest Suffolk Medical PC (Lindenhurst, NY) and Cogent Medical Care PC (East Patchogue, NY). 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 Rakesh Goyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rakesh Goyal affiliated with any hospitals?

According to CMS data, Rakesh Goyal is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Rakesh Goyal was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.