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Deactivated NPI 1184851396 Deactivated / Inactive NPI Male Practitioner

Dr. Gopal P Nigam , MD

Specialist • Youngstown, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gopal Nigam has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2009
NPI Deactivation Date March 07, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gopal Nigam, MD was a registered Specialist practicing in Youngstown, OH. Throughout an active medical career spanning 9 years, Dr. Nigam provided care at the practice location at 4308 BELMONT AVE until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

4308 Belmont Ave

Youngstown, OH 445051052

Telephone 3307599670
Fax 3307599705
Associated Practice Facility / Clinic
🏢 Nazim A Jaffer Facility NPI 1760453872

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
26 Specialists

Practicing in Youngstown, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35035278

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1013995653

Doctor of Medicine (M.D.)

NPI 1184607830

Doctor of Medicine (M.D.)

Riffat Iqbal

Pediatrics

NPI 1508972332
Nancy Keslar , CPNP

Nurse Practitioner - Pediatrics

NPI 1538479886

Certified Pediatric Nurse Practitioner

Shea Julian , APRN-CNP

Nurse Practitioner - Family

NPI 1598546871

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1750486122

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active June 15, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2009

Registered at 4308 BELMONT AVE, YOUNGSTOWN, OH 445051052 (Tel: 3307599670)

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Updated Business Mailing Address June 15, 2009

Registered at 17910 BAHAMA ISLE DR, TAMPA, FL 336472776 (Tel: 8133885719)

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Provider Name / Credentials Updated June 15, 2009

Recorded as GOPAL NIGAM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2009

Specialist (License #35035278 in OH)

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Initial NPI Registration & Enumeration June 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184851396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2009
Last Update: June 15, 2009
Deactivation Date: March 07, 2018

Mailing Address

17910 Bahama Isle Dr

Tampa, FL 336472776

Phone: 8133885719

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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