Prarthana Goyal, M.D.
NPI 1275771362 · Hospitalist Physician · Virginia Beach, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prarthana Goyal, M.D. is a Hospitalist Physician provider in Virginia Beach, VA (NPI 1275771362).
Provider details
- NPI number
- 1275771362
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0101268887 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
137 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $75 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 57 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 18 | $113 |
Typical Medicare-allowed amounts for these services range $75–$113 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 444-3985Fax: (401) 444-3986
Registry dates
- Enumerated
- 2009-01-27
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Prarthana Goyal's NPI number?
- Prarthana Goyal's National Provider Identifier (NPI) is 1275771362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prarthana Goyal's specialty?
- Prarthana Goyal is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prarthana Goyal located?
- Prarthana Goyal's practice location on file with NPPES is 1060 First Colonial Rd, Virginia Beach, VA 23454-3002.
- What is Prarthana Goyal's phone number?
- The practice phone number listed in the NPPES registry for Prarthana Goyal is (757) 395-2323.
- Does Prarthana Goyal accept Medicare?
- Prarthana Goyal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prarthana Goyal's NPI active?
- Yes — Prarthana Goyal's NPI (1275771362) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.