PAYAL GOKAL
NPI 1376964148
Nurse Practitioner - Family in Baltimore, MD

Active since December 21, 2013PECOS EnrolledAccepts Medicare Assignment
5601 LOCH RAVEN BLVD STE 100, BALTIMORE, MD 21239(443) 444-5835 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2019, Mar 17, 2018, Sep 13, 2017 (3 updates tracked since 2017).

About Payal Gokal NPPES

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

PAYAL GOKAL (NPI 1376964148) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R229782) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376964148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAYAL GOKAL
Location Address5601 LOCH RAVEN BLVD STE 100Baltimore, MD 21239-2946
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 21, 2013
Last NPPES UpdateJune 19, 20193 updates tracked since enumeration
NPI 1376964148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MD · R229782 Licensed in GA · 208644
5601 LOCH RAVEN BLVD STE 100, Baltimore, MD 21239

Secondary Practice Locations 2

Location 1820 Saint Sebastian Way Ste 7CAugusta, GA 30901-2641 · Phone (706) 774-2708 · Fax (706) 774-2039
Location 21350 Walton WayAugusta, GA 30901-2612 · Phone (706) 774-2708 · Fax (706) 774-2039

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

Payal Gokal 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 ID42442998
PECOS Enrollment IDI20181009000056, I20240226002745
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

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 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.
89 services54 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Infectious Disease)
5601 LOCH RAVEN BLVD STE 100
BALTIMORE, MD 21239

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 Payal Gokal's NPI number?

The NPI number for Payal Gokal is 1376964148. It was assigned to this individual provider in the NPPES registry on December 21, 2013.

Where is Payal Gokal located?

Payal Gokal practices at 5601 Loch Raven Blvd Ste 100, Baltimore, MD 21239. The listed phone number is (443) 444-5835.

What is Payal Gokal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Payal Gokal enrolled in Medicare?

Yes. Payal Gokal 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 Payal Gokal affiliated with any hospitals?

According to CMS data, Payal Gokal is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Payal Gokal was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.