Individual provider Active NPI

Adam M Goldstein, MD

  • Nephrology Physician
  • New Britain, CT
National Provider Identifier
1083685382
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
039348 Issued in CT
Practice address
1 Liberty SQ
New Britain, CT 06051-2636
Phone
(860) 827-1343
Fax
(860) 827-1812
NPI assigned
Jan 27, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 039348 CT Primary

Addresses

Primary practice location

1 Liberty SQ
New Britain, CT 06051-2636

Mailing address

1 Liberty SQ
New Britain, CT 06051-2636
Phone (860) 827-1343

Other identifiers 1

IdentifierTypeStateIssuer
1393488MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100825000848 CT Practitioner - NephrologyPractitioner - Neurology 3375624307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

1 Herald SQ
New Britain, CT 06051-5009
Phone (860) 258-3480

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 258-3480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039348CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Nephrology CurrentSince Jan 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2017 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

1 Herald Sq
New Britain, CT 06051
Phone (860) 827-1343

1 Liberty Sq
New Britain, CT 06051
Phone (860) 229-2807

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: adam.goldstein@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1083685382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512636",
            "telephone_number": "860-827-1343",
            "fax_number": "860-827-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512636",
            "telephone_number": "860-827-1343",
            "fax_number": "860-827-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "039348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393488",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.