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HIMAN GOLI M.D
NPI 1558679993
Internal Medicine in Cheverly, MD

Active since September 20, 2010PECOS EnrolledAccepts Medicare Assignment
3001 HOSPITAL DRIVE, CHEVERLY, MD 20785(301) 618-3774 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Himan Goli M.d NPPES

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

HIMAN GOLI M.D (NPI 1558679993) is an individual internal medicine provider in Cheverly, Maryland, licensed in Pennsylvania (MD449018) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with North Austin Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1558679993
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHIMAN GOLICredential: M.D
Location Address3001 HOSPITAL DRIVECheverly, MD 20785
Mailing Address3001 Hospital DrCheverly, MD 20785-1189 · (301) 618-3774
Phone(301) 618-3774
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1558679993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD449018
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD449018 (PA)
3001 HOSPITAL DRIVE, Cheverly, MD 20785
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Other Identifiers 1

Medicaid558108700MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Himan 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 ID6901047570
PECOS Enrollment IDI20201119002377
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 5

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.
491 services189 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.
164 services87 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.
155 services152 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.
89 services88 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20785 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%195 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
71%360 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
47%384 patients3/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%3,358 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%666 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%233 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%847 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%816 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%847 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%847 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%847 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

ALIA AHMED IBRAHIM MD
Emergency Medicine
3001 HOSPITAL DRIVE, UNIVERITY OF MARYLAND
CHEVERLY, MD 20785
Prince George's County (301) 618-2947
DR. VEDANSH CHANDRA MD
Internal Medicine
3001 HOSPITAL DRIVE, DEPARTMENT OF MEDICINE, 5TH FLOOR.
CHEVERLY, MD 20785
Prince George's County (301) 618-2273
DR. SEPIDEH NASSABEH MD
Pediatrics (Neonatal-Perinatal Medicine)
3001 HOSPITAL DRIVE, NEONATAL INTENSIVE CARE UNIT, PRINCE GEORGES HOSPITAL
CHEVERLY, MD 20785
Prince George's County (301) 618-2000
MS. BRITTANY ANNE DOYLE PA-C
Physician Assistant
3001 HOSPITAL DRIVE, PRINCE GEORGE'S HOSPITAL CENTER
CHEVERLY, MD 20785
Prince George's County (301) 618-2000
MRS. MONIQUE CHINITA STEVENS CNM, APRN
Advanced Practice Midwife
3001 HOSPITAL DRIVE
CHEVERLY, MD 20785
Prince George's County (301) 618-2000
MR. MICHAEL JAMES SIMPSON PA-C
Physician Assistant
3001 HOSPITAL DRIVE, ER AT UM PRINCE GEORGE'S HOSPITAL CENTER
CHEVERLY, MD 20785
Prince George's County (301) 618-2000
MRS. SAMPADA ROY MD
Internal Medicine
3001 HOSPITAL DRIVE, PRINCE GEORGES HOSPITAL CENTRE
CHEVERLY, MD 20785
Prince George's County (301) 618-3772
SCOTT PERRY PA-C
Physician Assistant (Surgical)
3001 HOSPITAL DRIVE, PRINCE GEORGE'S HOSPITAL CENTER
CHEVERLY, MD 20785
Prince George's County (301) 618-3779

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 Himan Goli's NPI number?

The NPI number for Himan Goli is 1558679993. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Himan Goli located?

Himan Goli practices at 3001 Hospital Drive, Cheverly, MD 20785. The listed phone number is (301) 618-3774.

What is Himan Goli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Himan Goli enrolled in Medicare?

Yes. Himan 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 Himan Goli accept?

Health plans from Blue Cross and Blue Shield of Texas list Himan 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 Himan Goli affiliated with any hospitals?

According to CMS data, Himan Goli is affiliated with North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Himan Goli was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.