DR. ANUJ GOYAL M.D.
NPI 1144214818
Internal Medicine - Pulmonary Disease in Dayton, OH

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
61.57/100
CMS Quality Rating
9001 N MAIN ST, SUITE A, DAYTON, OH 45415(937) 832-0990(937) 832-7323 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anuj Goyal M.d. NPPES

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

DR. ANUJ GOYAL M.D. (NPI 1144214818) is an individual pulmonary disease provider in Dayton, Ohio, licensed in Ohio (35.071194) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains a secondary practice location in Beavercreek.

NPPES Registry Identity

NPI1144214818
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANUJ GOYALCredential: M.D.
Location Address9001 N MAIN ST, SUITE ADayton, OH 45415-1175
Mailing Address9001 N Main St, Suite ADayton, OH 45415-1175 · (937) 832-0990 · Fax (937) 832-7323
Fax(937) 832-7323
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1995
Enumeration DateSeptember 8, 2005
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1144214818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35.071194
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedSpecialistTaxonomy 174400000X · License OH35-07-1194G (OH)
9001 N MAIN ST, Dayton, OH 45415

Secondary Practice Location 1

Location 13095 Dayton Xenia Rd Ste 900Beavercreek, OH 45434-4311 · Phone (937) 458-4010

Other Identifiers 1

Medicaid2090982OH

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. Anuj 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 ID1850328857
PECOS Enrollment IDI20100519000417
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 21

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 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.
591 services360 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.
468 services214 patients
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.
341 services269 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
172 services97 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
154 services140 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
110 services108 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

61.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.18
Promoting Interoperability0
Improvement Activities40
Cost66.38

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
64%495 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%615 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%1,087 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%113 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%215 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
54%39 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 74% · 123 patients
80%123 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,087 patients5/55-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 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers137 claims137 services$33.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers134 claims134 services$71.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers132 claims289 services$27.23 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers120 claims588 services$14.31 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers54 claims281 services$12.73 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers184 claims184 services$44.37 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 5

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

Specialist
9001 N MAIN ST, SUITE A
DAYTON, OH 45415
Internal Medicine (Pulmonary Disease)
9001 N MAIN ST, SUITE A
DAYTON, OH 45415
Internal Medicine (Pulmonary Disease)
9001 N MAIN ST, A
DAYTON, OH 45415
Specialist
9001 N MAIN ST, SUITE A
DAYTON, OH 45415
Specialist
9001 N MAIN ST, SUITE A
DAYTON, OH 45415

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 Anuj Goyal's NPI number?

The NPI number for Anuj Goyal is 1144214818. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Anuj Goyal located?

Anuj Goyal practices at 9001 N Main St Suite A, Dayton, OH 45415. The listed phone number is (937) 832-0990.

What is Anuj Goyal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anuj Goyal enrolled in Medicare?

Yes. Anuj 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.

What insurance does Anuj Goyal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Anuj Goyal 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 Anuj Goyal affiliated with any hospitals?

According to CMS data, Anuj Goyal is affiliated with Kettering Health Greene Memorial, Miami Valley Hospital, Atrium Medical Center, Upper Valley Medical Center and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Anuj Goyal was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.