Active NPI
Michael Goldman, MD
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0055527
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KDA7 / 617127-01 | Other | MD | BC / BS OF MD |
| 136601700 | Medicaid | MD | |
| S187 / 0016 | Other | MD | BLUECHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, GA, TN, DC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCWashington Radiology Assoc PLLCDiagnostic Imaging Consultants IncMercy Health System Corporation
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
- McLaren Northern Michigan
- Samaritan Medical Center
- Lima Memorial Health System
- McLaren Bay Region
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0055527 | MD | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| CHI Memorial Hospital - Georgia | Current | Accepting new patients | |
| Pco PC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Progressive MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Washington Radiology Assoc PLLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Washington Radiology Associates, PLLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Rockford Health Physicians | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1598712085
Diagnostic Radiology, GA, MD, TN
-
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1689783185
DC, Diagnostic Radiology, MD
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Pharmacy
- Milton, WI
- NPI 1013953504
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Chronic Disease Hospital
- Janesville, WI
- NPI 1164588679
-
- Pharmacy
- Woodstock, IL
- NPI 1366536773
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.