Active NPI
Aaron Scott Goldfein, M.D.
- General Practice Physician
- Dearborn, MI
National Provider Identifier
1053354787
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- AG082782
- Practice address
- 2040 Monroe St
Suite #209
Dearborn, MI 48124-2921 - Phone
- (313) 359-3800
- Fax
- (313) 277-4100
- NPI assigned
- Jun 13, 2006
- Last updated
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AG082782 | MI | |
| General Practice Physician | 208D00000X | AG082782 | MI | Primary |
Addresses
Primary practice location
2040 Monroe St
Suite #209
Dearborn, MI 48124-2921
Mailing address
2040 Monroe St
Suite #209
Dearborn, MI 48124-2921
Phone (313) 359-3800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0106334982 | Other | MI | BCBS PERSONAL |
| 010684376 | Other | MI | COMMERCIAL INSURANCE |
| 4616610-10 | Medicaid | MI | |
| 700H219440 | Other | MI | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG082782 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthland P C | Past | Accepting new patients | |
| Healthland Housecall Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Gerontology Nurse Practitioner
- Warren, MI
- NPI 1346304748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1053354787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 MONROE ST",
"address_2": "SUITE #209",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242921",
"telephone_number": "313-359-3800",
"fax_number": "313-277-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MONROE ST",
"address_2": "SUITE #209",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242921",
"telephone_number": "313-359-3800",
"fax_number": "313-277-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFEIN",
"first_name": "AARON",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "AG082782",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "AG082782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PERSONAL",
"identifier": "0106334982",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "010684376",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4616610-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700H219440",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.