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PRATIMA GOYAL M.D.
NPI 1982704169
Family Medicine in Stamford, CT

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
555 NEWFIELD AVE, STAMFORD, CT 06905(203) 359-4444(203) 323-3303 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Mar 20, 2018 (2 updates tracked since 2018).

About Pratima Goyal M.d. NPPES

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

PRATIMA GOYAL M.D. (NPI 1982704169) is an individual family medicine provider in Stamford, Connecticut, licensed in Connecticut (54864) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1982704169
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRATIMA GOYALCredential: M.D.
Location Address555 NEWFIELD AVEStamford, CT 06905-3335
Mailing Address555 Newfield AveStamford, CT 06905-3335 · (203) 359-4444 · Fax (203) 323-3303
Phone(203) 359-4444
Fax(203) 323-3303
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1982704169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 54864✔ Licensed in NY · 251872
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 NEWFIELD AVE, Stamford, CT 06905
Open in Google Maps ↗

Other Names 1

Former Name (1)Pratima Prakash Chandra Choudhary Md

Accepted Insurance

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

Pratima 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.

PECOS PAC ID648225219
PECOS Enrollment IDI20160223002380
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pratima Goyal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stamford Health Medical Group Inc
0.9 mi
General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1154633980 (203) 276-7447
Sun River Health Inc.
25 mi
Federally Qualified Health Center (FQHC)
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC.
Peekskill, NY 10566
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1619969458 (914) 734-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 9

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

DR. MICHAEL ZUCKER MD
Internal Medicine
555 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-4444
DR. ALAN SCOTT BARR D.D.S.
Dentist
555 NEWFIELD AVE, SUITE F
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-9800
DR. HAIK G KAVOOKJIAN MD
Orthopaedic Surgery (Hand Surgery)
555 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 358-0661
KALINDI P PANDYA DMD
Dentist
555 NEWFIELD AVE, UNIT D
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 921-1995
DR. VIPULKUMAR BHALODIYA M.D.
Internal Medicine
555 NEWFIELD AVE, SUITE- B
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-8900
DR. HAROLD ORLOW D.D.S.
Dentist
555 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 323-1551
VIPULKUMAR BHALODIYA, MD PC
Clinic/Center (Primary Care)
555 NEWFIELD AVE, SUITE B
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-8900
VERNETTA D GALLOP MD
Internal Medicine
555 NEWFIELD AVE
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-4444

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 Pratima Goyal's NPI number?

The NPI number for Pratima Goyal is 1982704169. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Pratima Prakash Chandra Choudhary MD.

Where is Pratima Goyal located?

Pratima Goyal practices at 555 Newfield Ave, Stamford, CT 06905. The listed phone number is (203) 359-4444.

What is Pratima Goyal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pratima Goyal enrolled in Medicare?

Yes. Pratima 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 Pratima Goyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratima Goyal reassigns Medicare benefits to 2 organizations: Stamford Health Medical Group Inc (Stamford, CT) and Sun River Health Inc. (Peekskill, NY). 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 Pratima Goyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratima Goyal accept?

Health plans from Anthem Blue Cross and Blue Shield list Pratima 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 Pratima Goyal was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.