Sanjiva Goyal
COASTAL DERMATOLOGY PA


Address: 2804 Saint Johns Bluff S Rd, Suite 109, Jacksonville, FL 32246-3777
Phone: 9047279123

Sanjiva Goyal (NPI# 1558350702, PAC ID# 4284627019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1558350702
PAC ID by PECOS 4284627019
Professional Enrollment ID I20040406001714
Full Name Sanjiva Goyal
Organization Legal Name COASTAL DERMATOLOGY PA
Address 2804 Saint Johns Bluff S Rd
Suite 109
Jacksonville
FL 32246-3777
Phone Number 9047279123
Gender M
Credential MD
Graduation Year 1990
Primary Specialty DERMATOLOGY
Group Practice PAC ID 2961452107
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2804 Saint Johns Bluff S Rd, Suite 109, Jacksonville, FL 32246-3777 9047279123 COASTAL DERMATOLOGY PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 62%
ACI_EC_TRANS_EP_1 e-Prescribing 62%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 99%
MIPS_EC_047_overall Care Plan 99%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 42%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 42%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 90%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 90%

Organization Information

Organization Legal Name COASTAL DERMATOLOGY PA
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Kristy Marie Schweighardt Physician Assistant Coastal Dermatology Pa 2804 Saint Johns Bluff S Rd, Suite 109, Jacksonville, FL 32246-3777

Office Location

Street Address 2804 SAINT JOHNS BLUFF S RD
SUITE 109
City JACKSONVILLE
State FL
Zip 32246-3777

Physicians in the same location

Name Specialty Organization Address
Kristy Marie Schweighardt Physician Assistant Coastal Dermatology Pa 2804 Saint Johns Bluff S Rd, Suite 109, Jacksonville, FL 32246-3777

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Competitor

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City JACKSONVILLE
Zip Code 32246
Specialty DERMATOLOGY
City + Specialty JACKSONVILLE + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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