Individual provider Active NPI

Naomi Goloff, MD

  • Pediatric Hospice and Palliative Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1093040404
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
53894 Issued in MN
Practice address
2450 26TH Ave S
Fairview Home Care and Hospice
Minneapolis, MN 55406-1245
Phone
(612) 721-2491
Fax
(612) 728-2400
NPI assigned
Oct 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53894 MN
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 53894 MN Primary

Addresses

Primary practice location

2450 26TH Ave S
Fairview Home Care and Hospice
Minneapolis, MN 55406-1245

Mailing address

2450 26TH Ave S
Fairview Home Care and Hospice
Minneapolis, MN 55406-1245
Phone (612) 721-2491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20121029000801 MN Practitioner - Pediatric MedicinePractitioner - Hospice/Palliative CarePractitioner - Pain Management 0648420653 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince May 18, 2014 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Fairview Health Services CurrentSince May 18, 2014 Accepting new patients

Locations

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2025 E River Rd
Minneapolis, MN 55414
Phone (612) 301-0115

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 6

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": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093040404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 26TH AVE S",
            "address_2": "FAIRVIEW HOME CARE AND HOSPICE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061245",
            "telephone_number": "612-721-2491",
            "fax_number": "612-728-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 26TH AVE S",
            "address_2": "FAIRVIEW HOME CARE AND HOSPICE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061245",
            "telephone_number": "612-721-2491",
            "fax_number": "612-728-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOFF",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "53894",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "53894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.