Active NPI
Esteban E Golombievski, MD
- Vascular Neurology Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 01082937A
- Practice address
- 901 Macarthur Blvd
Munster, IN 46321-2901 - Phone
- (219) 703-1991
- Fax
- (219) 836-6796
- NPI assigned
- Jun 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036134502 | IL | |
| Vascular Neurology Physician | 2084V0102X | 01082937A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Munster, IN 46321-2901
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other practice location 1
305 W Jackson St
Suite 103
Carbondale, IL 62901-1474
Phone (618) 351-4972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300031935 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 S Lake Park Ave
Hobart, IN 46342-6638
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563
9130 Columbia Ave
Munster, IN 46321-2932
9660 Wicker Ave
Saint John, IN 46373-9487
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036134502 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Community Care Network Inc | Neurology | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients |
Locations
305 W Jackson St
Ste 103
Carbondale, IL 62901
Phone (618) 351-4972
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
Interoperability endpoints
- egolombievski113787@direct.luhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1023339033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "219-392-7084",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-703-1991",
"fax_number": "219-836-6796"
}
],
"practiceLocations": [
{
"address_1": "305 W Jackson St",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-351-4972",
"fax_number": "618-351-6522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLOMBIEVSKI",
"first_name": "ESTEBAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036134502",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IN",
"license": "01082937A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300031935",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.