1. Home
  2. Directory
  3. New York
  4. Baldwin
  5. Internal Medicine
  6. NPI Profile

DR. SANJAY GOYAL M.D.
NPI 1164400156
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baldwin, NY

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.25/100
CMS Quality Rating
2280 GRAND AVE, SUITE 307, BALDWIN, NY 11510(516) 378-3373(516) 378-1045 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanjay Goyal M.d. NPPES

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

DR. SANJAY GOYAL M.D. (NPI 1164400156) is an individual endocrinology, diabetes & metabolism provider in Baldwin, New York, licensed in New York (190916-1) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1164400156
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SANJAY GOYALCredential: M.D.
Location Address2280 GRAND AVE, SUITE 307Baldwin, NY 11510-3164
Mailing Address6 Orton DrEast Northport, NY 11731-3620 · (718) 806-1609 · Fax (718) 806-1693
Phone(516) 378-3373
Fax(516) 378-1045
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1164400156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 190916-1
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2280 GRAND AVE, Baldwin, NY 11510
Open in Google Maps ↗

Other Identifiers 1

Medicaid01579102NY

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. Sanjay 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 ID6204889991
PECOS Enrollment IDI20050222000782
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 9

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.
2,022 services337 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
1,492 services192 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
408 services341 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.
262 services130 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
73 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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.

85.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.95
Improvement Activities40
Cost62.92

Reported Quality Measures

Advance Care Plan
0%72 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
55%29 patients3/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
11%73 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%57 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%164 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
100%57 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 4

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
15 suppliers42 claims126 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers24 claims34 services$1.11 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
2 suppliers311 claims311 services$181.28 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier22 claims22 services$204.74 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 19

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

ROBERT FISCH MD PC
Specialist
2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510
Nassau County (516) 255-0600
SONYA SHERON VENTOUR MD
Internal Medicine (Gastroenterology)
2280 GRAND AVE, STE 303
BALDWIN, NY 11510
Nassau County (516) 771-4971
DR. SUSAN INA KANE DO
Family Medicine
2280 GRAND AVE, SUITE 208
BALDWIN, NY 11510
Nassau County (516) 623-4800
XIAOYA WANG O.M.D., L.AC
Acupuncturist
2280 GRAND AVE, STE 203
BALDWIN, NY 11510
Nassau County (516) 965-6990
DENISE C PINEAU P.T.
Physical Therapist
2280 GRAND AVE, SUITE 205
BALDWIN, NY 11510
Nassau County (516) 223-5306
BEVERLY S ADLER PH.D.
Psychologist (Clinical)
2280 GRAND AVE, SUITE 312
BALDWIN, NY 11510
Nassau County (516) 378-6676
DR. PETER JOSEPH AJEMIAN MD
Orthopaedic Surgery
2280 GRAND AVE, SUITE 201A
BALDWIN, NY 11510
Nassau County (516) 536-6800
DR. PAULA D YOUNG I M.D.
Internal Medicine
2280 GRAND AVE, SUITE 307
BALDWIN, NY 11510
Nassau County (516) 398-0029

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 Sanjay Goyal's NPI number?

The NPI number for Sanjay Goyal is 1164400156. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Sanjay Goyal located?

Sanjay Goyal practices at 2280 Grand Ave Suite 307, Baldwin, NY 11510. The listed phone number is (516) 378-3373.

What is Sanjay Goyal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sanjay Goyal enrolled in Medicare?

Yes. Sanjay 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.

Is Sanjay Goyal affiliated with any hospitals?

According to CMS data, Sanjay Goyal is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Goyal was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.