Dr Pooja Goel, MD - Medicare Family Medicine in Coral Gables, FL

  1. Home
  2. Family Medicine
  3. FL
  4. Coral Gables
Dr Pooja Goel, MD is a medicare enrolled "Family Medicine" physician in Coral Gables, Florida. Her current practice location is 5555 Ponce De Leon Blvd Ste 128, Coral Gables, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 284-9100.

Dr Pooja Goel is licensed to practice in Florida (license number ME137553) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689807166.

Contact Information

Dr Pooja Goel, MD
5555 Ponce De Leon Blvd Ste 128,
Coral Gables, FL 33146-2513
(305) 284-9100
Not Available

Map and Direction




Physician's Profile

Full NameDr Pooja Goel
GenderFemale
SpecialityFamily Medicine
Location5555 Ponce De Leon Blvd Ste 128, Coral Gables, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689807166
  • Provider Enumeration Date: 08/31/2009
  • Last Update Date: 09/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163675547
  • Enrollment ID: I20160913000834

Medical Identifiers

Medical identifiers for Dr Pooja Goel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689807166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0074942 (Maryland)Secondary
207QA0505XFamily Medicine - Adult Medicine MT196158 (Pennsylvania)Secondary
207Q00000XFamily Medicine ME137553 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pooja Goel allows following entities to bill medicare on her behalf.
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pooja Goel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pooja Goel, MD
5555 Ponce De Leon Blvd Ste 128,
Coral Gables, FL 33146-2513

Ph: (305) 284-9100		Dr Pooja Goel, MD
5555 Ponce De Leon Blvd Ste 128,
Coral Gables, FL 33146-2513

Ph: (305) 284-9100

Reviews and Comments


Family Medicine Doctors in Coral Gables, FL

Dr. Julio Lucas Arronte, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3940 W Flagler St, Suite 201, Coral Gables, FL 33134
Phone: 305-444-1041    
Rogelio Oscar Bardinas Rodriguez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5200 Sw 8th St, Suite # 150, Coral Gables, FL 33134
Phone: 305-250-5600    Fax: 305-250-5688
Jose Jesus Sanchez Chavez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4011 W Flagler St, 204, Coral Gables, FL 33134
Phone: 305-774-1234    Fax: 305-774-1639
Ms. Jennifer Lydia Horawski, MD.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146
Phone: 843-848-4640    
Nancy Karen Alvarez, DNP, FNP, ARNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3934 Sw 8th St Ste 308, Coral Gables, FL 33134
Phone: 786-344-7109    
Jenny Cecilia Montes De Oca Pineda, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 370 Minorca Ave Fl 2, Coral Gables, FL 33134
Phone: 305-894-7400    
Dr. Harold Silberman, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 370 Minorca Ave, 2nd Floor, Primecare Of Coral Gables, Coral Gables, FL 33134
Phone: 305-443-3001    Fax: 305-441-9427

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.