Individual provider Active NPI

Daniel J Goldberg, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1043248297
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0021334 Issued in MD
Practice address
15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254
Phone
(301) 670-3000
Fax
(301) 924-0186
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0021334 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254

Mailing address

15225 Shady Grove Rd
Suite 201
Rockville, MD 20850-3254
Phone (301) 670-3000

Other identifiers 1

IdentifierTypeStateIssuer
311651400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040727001412 DC Practitioner - Cardiovascular Disease (Cardiology) 0840260972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0021334MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Associates, P.C. Cardiovascular Disease CurrentSince May 1, 2005 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Feb 1, 2008 Accepting new patients
Suburban Ekg Interpreters Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients

Locations

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

6116 Executive Blvd
Ste 155
Rockville, MD 20852
Phone (301) 770-7979

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

15225 Shady Grove Rd
Ste 2
Rockville, MD 20850

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850
Phone (301) 670-3000

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1043248297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-670-3000",
            "fax_number": "301-924-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "SUITE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-670-3000",
            "fax_number": "301-924-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0021334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311651400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.