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DR. SHILPA GOLI M.D.
NPI 1306084306
Hospitalist in Jacksonville, FL

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
820 PRUDENTIAL DR, SUITE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Nov 9, 2015 (2 updates tracked since 2015).

About Dr. Shilpa Goli M.d. NPPES

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

DR. SHILPA GOLI M.D. (NPI 1306084306) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME114211) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306084306
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHILPA GOLICredential: M.D.
Location Address820 PRUDENTIAL DR, SUITE 304Jacksonville, FL 32207-8210
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-3860
Fax(904) 202-3846
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 28, 2009
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1306084306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in FL · ME114211✔ Licensed in MA · 240270
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 ME114211 (FL)
820 PRUDENTIAL DR, Jacksonville, FL 32207
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Other Identifiers 2

Medicaid003147249BGA
Medicaid007336900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Shilpa Goli 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 ID4789730540
PECOS Enrollment IDI20121219000243
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 6

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.
809 services280 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.
143 services140 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services37 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.
26 services26 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.
19 services19 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$13.77 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 suppliers20 claims20 services$64.70 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 20

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

DR. MOHAMAD ALASAD TOLAYMAT M.D.
Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
SARAH VICTORIA BRINKLEY RN
Registered Nurse
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (814) 591-8074
DR. RYAN BENJAMIN BRENES D.O.
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (306) 619-5517
M. ELIZABETH B PERRY M.D.
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Duval County (904) 398-3356
ERIN BECKETT ARNP
Nurse Practitioner (Neonatal)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (575) 491-4958
PETER J CLAGNAZ MD
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR, SUITE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DR. FRANCISCO JAVIER GUTIERREZ D.O.
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
JANICE RIDDELL ABDELNOUR R.D, C.D.E.
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207
Duval County (904) 202-2140

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 Shilpa Goli's NPI number?

The NPI number for Shilpa Goli is 1306084306. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Shilpa Goli located?

Shilpa Goli practices at 820 Prudential Dr Suite 304, Jacksonville, FL 32207. The listed phone number is (904) 202-3860.

What is Shilpa Goli's specialty?

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

Is Shilpa Goli enrolled in Medicare?

Yes. Shilpa Goli 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 Shilpa Goli accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shilpa Goli 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 Shilpa Goli affiliated with any hospitals?

According to CMS data, Shilpa Goli is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Shilpa Goli was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.