DR. HARISH KUMAR GOLI (M.D) – Specialist, NPI 1003177049

DR. HARISH KUMAR GOLI (M.D) is a healthcare provider. based in Saint johns, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D. They hold a License No. ME119481 (FL). The NPI Number for DR. HARISH KUMAR GOLI (M.D) is 1003177049

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. HARISH KUMAR GOLI (M.D)
NPI
1003177049
Phone
(904) 616-5260
Address
296 ELLSWORTH CIR
Enumeration Date
6 June 2012
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522658982
Graduation Year
1978 (48 years ago)
PAC ID
6507275484
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20230920000230
Address ID
FL326081532GA2001XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. HARISH KUMAR GOLI (M.D)

  • 296 ELLSWORTH CIR

    SAINT JOHNS, FL 322597230

    Phone: (904) 616-5260

    Type: Mailing

  • 655 WEST, 8TH STREET

    UNIVERSITY OF FLORIDA

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-4387

    Type: Location

  • PO BOX 100275

    GAINESVILLE, FL 326100275

    Phone: (352) 273-7839

    Fax: (352) 273-8172

    Type: Mailing

  • 105 Marys Ave

    Kingston, NY 124015829

    Phone: (845) 334-4929

    Type: Location

  • 19 BRADHURST AVE STE 3100N

    HAWTHORNE, NY 105322140

    Phone: (914) 909-9018

    Type: Mailing

  • 241 NORTH RD

    POUGHKEEPSIE, NY 126011154

    Phone: (914) 909-9018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-04-28 • Largest payer in this snapshot: Roche Diagnostics Corporation ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210505001080IPathologyNYTBD
I20230920000230IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity606361$0
88341Special stained specimen slides to examine tissue, each additional procedure25877$0
88342Special stained specimen slides to examine tissue, initial procedure183128$0
88300Pathology examination of tissue using a microscope, limited examination9587$0
88304Pathology examination of tissue using a microscope, moderately low complexity9181$0
View full utilization report →

Insurance plans in this area (ZIP 32259)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345146254View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. HARISH KUMAR GOLI (M.D) for billing?
Administrative and clinical systems typically use NPI 1003177049 for DR. HARISH KUMAR GOLI (M.D).
Quick check: is DR. HARISH KUMAR GOLI (M.D) active?
Public NPPES data shows DR. HARISH KUMAR GOLI (M.D) with an active NPI status right now.
How should patients interpret DR. HARISH KUMAR GOLI (M.D)'s specialty?
The extract shows Other Service Providers for DR. HARISH KUMAR GOLI (M.D). Clinical services aligned with this taxonomy classification.
Is DR. HARISH KUMAR GOLI (M.D) tied to Saint Johns, Florida?
If you are local to Saint Johns, Florida, DR. HARISH KUMAR GOLI (M.D) may be relevant to your search.
Why is information missing for DR. HARISH KUMAR GOLI (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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