Madhu Goyal, M.D.
NPI 1538102413 · Pediatrics Physician · South Plainfield, NJ
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madhu Goyal, M.D. is a Pediatrics Physician provider in South Plainfield, NJ (NPI 1538102413).
Provider details
- NPI number
- 1538102413
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA05552400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
76 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 39 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $96 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $142 |
Typical Medicare-allowed amounts for these services range $96–$142 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 448 | 218 |
| Metformin Hcl | 348 | 154 |
| Amlodipine Besylate | 327 | 173 |
| Losartan Potassium | 207 | 102 |
| Lisinopril | 150 | 71 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 134 | 53 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 491 New Brunswick AvePerth Amboy, NJ 08861-3653Phone: (732) 324-8033
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2022-01-12
- Certified
- 2022-01-10
Frequently asked questions
- What is Madhu Goyal's NPI number?
- Madhu Goyal's National Provider Identifier (NPI) is 1538102413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madhu Goyal's specialty?
- Madhu Goyal is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Madhu Goyal located?
- Madhu Goyal's practice location on file with NPPES is 2509 Park Ave, South Plainfield, NJ 07080-5300.
- What is Madhu Goyal's phone number?
- The practice phone number listed in the NPPES registry for Madhu Goyal is (908) 668-8290.
- Does Madhu Goyal accept Medicare?
- Madhu Goyal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madhu Goyal's NPI active?
- Yes — Madhu Goyal's NPI (1538102413) is active in the NPPES registry as of the last update on 2022-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.