Individual provider Active NPI

Michael Goldman, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1003854985
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0055527 Issued in MD
Practice address
301 Saint Paul PL
Radiology Dept
Baltimore, MD 21202-2102
Phone
(410) 332-9266
Fax
(410) 545-4255
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0055527 MD Primary
Therapeutic Radiology Physician 2085R0203X D0055527 MD
Diagnostic Ultrasound Physician 2085U0001X D0055527 MD

Addresses

Primary practice location

301 Saint Paul PL
Radiology Dept
Baltimore, MD 21202-2102

Mailing address

PO Box 64075
Baltimore, MD 21264-4075

Other identifiers 3

IdentifierTypeStateIssuer
KDA7 / 617127-01OtherMDBC / BS OF MD
136601700MedicaidMD
S187 / 0016OtherMDBLUECHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA, TN, DC, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20071129000510 MD Practitioner - Diagnostic Radiology 2668568825 Reassigns benefits to 4 organizations
I20220912003575 GA Practitioner - Diagnostic Radiology 2668568825 Reassigns benefits to 1 organization
I20220926003729 TN Practitioner - Diagnostic Radiology 2668568825 Reassigns benefits to 1 organization
I20240103002303 DC Practitioner - Diagnostic Radiology 2668568825 Reassigns benefits to 2 organizations
I20260211001926 IL Practitioner - Diagnostic Radiology 2668568825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pco PCGroup PAC ID 5395179329, 82 clinicians
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians
Diagnostic Imaging Consultants IncGroup PAC ID 7618949520, 15 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Bel Air, MD 21015
Phone (317) 614-9881

100 Fulford Ave
Bel Air, MD 21014-3812
Phone (410) 838-6767

1185 Imperial Dr
Suite 100
Hagerstown, MD 21740-6670
Phone (301) 733-1477

1300 Oak Manor CT
Bel Air, MD 21015-5852
Phone (423) 495-7100

1820 Sweetbay Dr
Suite 102
Salisbury, MD 21804-1439
Phone (410) 546-3390

20410 Observation Dr
Suite 106
Germantown, MD 20876-6419
Phone (240) 397-6674

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-4430

4700 Battlefield Pkwy
Ringgold, GA 30736-5166
Phone (866) 730-5619

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0055527MDMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
CHI Memorial Hospital - Georgia CurrentSince Sep 1, 2022 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 28, 2026 Accepting new patients
Progressive MRI, LLC Diagnostic Radiology CurrentSince Nov 5, 2023 Accepting new patients
Diagnostic Imaging Consultants Inc Diagnostic Radiology CurrentSince Sep 3, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 28, 2026 Accepting new patients
Washington Radiology Assoc PLLC CurrentSince Mar 25, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Jan 28, 2026 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Jan 30, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Jan 28, 2026 Accepting new patients
Rockford Health Physicians CurrentSince Jan 28, 2026 Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Memorial Health Care System, Inc. Past Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
J R Miller DO & R R Di Pietro DO Assc Diagnostic Radiology Past Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4700 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8000

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

100 Fulford Ave
Bel Air, MD 21014
Phone (410) 838-6767

314 Franklin Ave
Ste 406
Berlin, MD 21811
Phone (410) 546-4577

2 Colgate Dr
Ste 204
Forest Hill, MD 21050
Phone (410) 879-9636

20410 Observation Dr
Ste 106
Germantown, MD 20876
Phone (240) 397-6674

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7701 Greenbelt Rd
Ste 102
Greenbelt, MD 20770
Phone (301) 464-6400

3300 Olney Sandy Spring Rd
Ste 100
Olney, MD 20832
Phone (301) 260-2971

1820 Sweetbay Dr
Ste 102
Salisbury, MD 21804
Phone (410) 546-3390

12070 Old Line Ctr
Ste 305
Waldorf, MD 20602
Phone (301) 870-4190

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

400 Berywood Trl NW
Ste A
Cleveland, TN 37312
Phone (423) 697-3560

6401 Mountain View Rd
Ooltewah, TN 37363

3201 Jermantown Rd
Ste 550
Fairfax, VA 22030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14399/brand/2/csg/1/fhir/r4

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 31

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1003854985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64075",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "RADIOLOGY DEPT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9266",
            "fax_number": "410-545-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0055527",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MD",
            "license": "D0055527",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MD",
            "license": "D0055527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS OF MD",
            "identifier": "KDA7 / 617127-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136601700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S187 / 0016",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.