NPIMap

Individual provider Active NPI

Stephen E Goldberg, MD

  • Anesthesiology Physician
  • Munster, IN
National Provider Identifier
1033120944
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01044641A Issued in IN
Practice address
901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone
(219) 836-1600
Fax
(219) 513-1127
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01044641A IN Primary

Addresses

Primary practice location

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901

Mailing address

901 Macarthur Blvd
Attn Anesthesia
Munster, IN 46321-2901
Phone (219) 836-7040

Other identifiers 3

IdentifierTypeStateIssuer
000000494496OtherINANTHEM BCBS
30558703MedicaidIN
200858430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000479 IN Practitioner - AnesthesiologyPractitioner - Pain Management 0446351670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nwi Medical Associates , LLCGroup PAC ID 4183087257, 64 clinicians

Practice addresses (Care Compare)

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 703-1443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044641AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital Inc Current Accepting new patients
Nwi Medical Associates , LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Munster Medical Research Foundation Inc Anesthesiology CurrentSince Dec 1, 2006 Accepting new patients
St. Catherine Hospital Inc. CurrentSince Oct 2, 2018 Accepting new patients
St Catherine Hospital Inc Anesthesiology CurrentSince Oct 2, 2018 Accepting new patients
Munster Medical Research Foundation, Inc. CurrentSince Dec 1, 2006 Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients
Brevard Anesthesia Services PA Anesthesiology PastSince Dec 1, 1999 Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

Organizations & group practices 8

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1033120944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "address_2": "ATTN ANESTHESIA",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-1600",
            "fax_number": "219-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01044641A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000494496",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30558703",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200858430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.