GOUL FAMILY MEDICINE LLC
NPI 1386331643
Family Medicine in Indianapolis, IN
About Goul Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOUL FAMILY MEDICINE LLC (NPI 1386331643) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Rhonda Wilson Goul, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goul Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Goul Family Medicine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2281366
Goul Family Medicine LLC · Indianapolis, INFrequently 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 Goul Family Medicine LLC's NPI number?
The NPI number for Goul Family Medicine LLC is 1386331643. It was assigned to this organization in the NPPES registry on April 18, 2023.
Where is Goul Family Medicine LLC located?
Goul Family Medicine LLC is located at 5128 E Stop 11 Rd Ste 38, Indianapolis, IN 46237. The listed phone number is (317) 410-0371.
What is Goul Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Goul Family Medicine LLC enrolled in Medicare?
Yes. Goul Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goul Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Goul Family Medicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Goul Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2281366) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Goul Family Medicine LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Goul Family Medicine Llc · NPI 1386331643
Family Medicine organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1386331643 (Entity type: Organization)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rhonda Goul, OWNER
## Practice location
- **Address:** 5128 E STOP 11 RD STE 38, Indianapolis, IN 46237-6338
- **Phone:** (317) 410-0371
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1386331643) · Data from the CMS NPPES public registry.