DR. MADHU GOYAL M.D.
NPI 1538102413
Pediatrics in South Plainfield, NJ
About Dr. Madhu Goyal M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MADHU GOYAL M.D. (NPI 1538102413) is an individual pediatrics provider in South Plainfield, New Jersey, licensed in New Jersey (MA055524) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Perth Amboy, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Madhu 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.
Medicare Billing Reassignments
2Medicare enrollment records show Madhu Goyal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
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 Madhu Goyal's NPI number?
The NPI number for Madhu Goyal is 1538102413. It was assigned to this individual provider in the NPPES registry on June 14, 2006.
Where is Madhu Goyal located?
Madhu Goyal practices at 2509 Park Ave Suite#1a, South Plainfield, NJ 07080. The listed phone number is (908) 668-8290.
What is Madhu Goyal's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Madhu Goyal enrolled in Medicare?
Yes. Madhu 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.
Which organizations bill Medicare for Madhu Goyal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhu Goyal reassigns Medicare benefits to 2 organizations: Alok Goyal, M.D. (South Plainfield, NJ) and South Plainfield Primary Care (South Plainfield, NJ). Each 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 Madhu Goyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madhu Goyal accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Madhu Goyal 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.
When was this NPI record last updated?
The NPPES record for Madhu Goyal was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Madhu Goyal, M.D. · NPI 1538102413
Pediatrics physician in South Plainfield, New Jersey. Individual provider, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1538102413 (Entity type: Individual)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MA055524 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2509 PARK AVE, SUITE#1A, South Plainfield, NJ 07080-5300
- **Phone:** (908) 668-8290 · **Fax:** (908) 561-4914
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alok Goyal, M.D. (NPI 1144843483, South Plainfield, NJ); South Plainfield Primary Care (NPI 1003847906, South Plainfield, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** January 12, 2022
- **Other identifiers:** Other 222842501 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1538102413) · Data from the CMS NPPES public registry.