Dr Divesh Goel, MD is a medicare enrolled "Hospitalist" physician in Redondo Beach, California. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospitalists Of Modesto Medical Group Inc and his current practice location is
512 Esplanade Apt 101, Redondo Beach, California. You can reach out to his office (for appointments etc.) via phone at
(310) 951-2894.
Dr Divesh Goel is licensed to practice in California (license number A178405) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578026050.
Physician's Profile
| Full Name | Dr Divesh Goel |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 512 Esplanade Apt 101, Redondo Beach, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Divesh Goel graduated from medical school in 2017
NPI Data:
- NPI Number: 1578026050
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022490135
- Enrollment ID: I20220806000113
Medical Identifiers
Medical identifiers for Dr Divesh Goel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578026050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | A178405 (California) | Primary |
| 207Q00000X | Family Medicine | A178405 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hospitalists Of Modesto Medical Group Inc | 2567360027 | 52 |
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 Divesh Goel allows following entities to bill medicare on his behalf.
| Entity Name | Hospitalists Of Modesto Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821190711
PECOS PAC ID: 2567360027
Enrollment ID: O20031222000781 |
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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 Divesh 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 Address | Practice Location Address |
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Dr Divesh Goel, MD
512 Esplanade Apt 101,
Redondo Beach, CA 90277-4063
Ph: () - | Dr Divesh Goel, MD
512 Esplanade Apt 101,
Redondo Beach, CA 90277-4063
Ph: (310) 951-2894 |
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