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HEENAM GOEL M.B.B.S.
NPI 1396128526
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Cloud, MN

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
1900 CENTRACARE CIR STE 2500, SAINT CLOUD, MN 56303(608) 263-6400 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2020, Sep 7, 2018 (2 updates tracked since 2018).

About Heenam Goel M.b.b.s. NPPES

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

HEENAM GOEL M.B.B.S. (NPI 1396128526) is an individual endocrinology, diabetes & metabolism provider in Saint Cloud, Minnesota, licensed in Minnesota (67535) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396128526
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameHEENAM GOELCredential: M.B.B.S.
Location Address1900 CENTRACARE CIR STE 2500Saint Cloud, MN 56303-5000
Mailing Address1900 Centracare Cir Ste 2500Saint Cloud, MN 56303-5000 · (320) 229-5000
Phone(608) 263-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 7, 2015
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1396128526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MN · 67535
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1900 CENTRACARE CIR STE 2500, Saint Cloud, MN 56303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Heenam Goel M.b.b.s. 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 ID6204141047
PECOS Enrollment IDI20200902001001
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.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
9,450 services24 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,460 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
157 services107 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
108 services66 patients
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.
83 services70 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
75 services48 patients

Hospital Affiliations CMS Care Compare 5

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240088
Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County
Emergency services Birthing friendly

Centracare Health System - Melrose Hospital

Critical Access Hospitals · Melrose, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241330
Location525 West Main StreetMelrose, MN 56352 · Stearns County
Emergency services Birthing friendly

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241349
Location200 1st Street WestPaynesville, MN 56362 · Stearns County
Emergency services Birthing friendly

Meeker Memorial Hospital

Critical Access Hospitals · Litchfield, MN
OwnershipGovernment - Local
CMS Certification Number241366
Location612 South Sibley AvenueLitchfield, MN 55355 · Meeker County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers24 claims24 services$308.35 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
10 suppliers121 claims121 services$185.47 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 3

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

SARA KAYE STARK DAVIS PHARMD
Pharmacist
1900 CENTRACARE CIR STE 2500
ST CLOUD, MN 56303
Stearns County (230) 229-5000
NILDA LARIOS RIOS CNP
Nurse Practitioner (Family)
1900 CENTRACARE CIR STE 2500
SAINT CLOUD, MN 56303
Stearns County (320) 229-5000
SARA GUDRUN ST HILAIRE FNP-C
Nurse Practitioner
1900 CENTRACARE CIR STE 2500
SAINT CLOUD, MN 56303
Stearns County (320) 229-5000

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 Heenam Goel's NPI number?

The NPI number for Heenam Goel is 1396128526. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Heenam Goel located?

Heenam Goel practices at 1900 Centracare Cir Ste 2500, Saint Cloud, MN 56303. The listed phone number is (608) 263-6400.

What is Heenam Goel's specialty?

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

Is Heenam Goel enrolled in Medicare?

Yes. Heenam Goel 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 Heenam Goel accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Heenam Goel 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 Heenam Goel affiliated with any hospitals?

According to CMS data, Heenam Goel is affiliated with St Cloud Hospital, Centracare- Rice Memorial Hospital, Centracare Health System - Melrose Hospital, Centracare Health Paynesville Hospital and Meeker Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heenam Goel was last updated on December 10, 2020. 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.