Individual provider Active NPI

Marc A Goldman, MD

  • Gastroenterology Physician
  • Springfield, MA
National Provider Identifier
1003889726
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
42519 Issued in MA
Practice address
175 Carew St Ste 200
Springfield, MA 01104-2391
Phone
(413) 732-4269
Fax
(413) 785-4619
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42519 MA
Gastroenterology Physician 207RG0100X 42519 MA Primary

Addresses

Primary practice location

175 Carew St Ste 200
Springfield, MA 01104-2391

Mailing address

175 Carew St Ste 200
Springfield, MA 01104-2391
Phone (413) 732-4269

Other identifiers 2

IdentifierTypeStateIssuer
110037496/AMedicaidMA
003117505MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000594 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 4587553714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

175 Carew St
Springfield, MA 01104-2389

233 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy126
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42519MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients
Mwa,PC Internal Medicine Past Accepting new patients
Hampden County Physician Associates, LLC Internal Medicine Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients

Locations

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

299 Carew St
Ste 419
Springfield, MA 01104
Phone (413) 737-7951

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

395 Southampton Rd
#100
Westfield, MA 01085
Phone (413) 485-4661

Interoperability endpoints

  • Direct secure messaging: mgoldman2389733@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1003889726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042391",
            "telephone_number": "413-732-4269",
            "fax_number": "413-785-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042391",
            "telephone_number": "413-732-4269",
            "fax_number": "413-785-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42519",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "42519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037496/A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003117505",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.