Active NPI
Alvin Ephrain Goldansky, MD
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17891
- Practice address
- 1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021 - Phone
- (602) 864-6828
- Fax
- (602) 864-6859
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17891 | AZ | Primary |
Addresses
Primary practice location
1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021
Mailing address
1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021
Phone (602) 864-6828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0325850 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1728 W Glendale Ave
Suite 301
Phoenix, AZ 85021-8864
Phone (602) 864-6828
1835 W Missouri Ave
Phoenix, AZ 85015-3046
Phone (602) 230-0777
3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17891 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Primary Care Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Healthyu Family Medicine, LLC | Internal Medicine | Current | Accepting new patients |
| Ajay Bhatnagar, PLLC | Past | Accepting new patients | |
| Institute for Liver Health, LLC | Past | Accepting new patients | |
| Healthyu Phoenix 31St Avenue, LLC | Past | Accepting new patients | |
| Arizona State Urological Institute LLC | Past | Accepting new patients |
Locations
3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701
840 E McKellips Rd
Ste 107
Mesa, AZ 85203
Phone (602) 491-0701
840 E McKellips Rd
Ste 111
Mesa, AZ 85203
16841 N 31st Ave
Bldg 3
Phoenix, AZ 85053
1835 W Missouri Ave
Phoenix, AZ 85015
Phone (602) 230-0777
15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690
1728 W Glendale Ave
Ste 30
Phoenix, AZ 85021
1728 W Glendale Ave
Ste 301
Phoenix, AZ 85021
Phone (602) 249-1972
Interoperability endpoints
- https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
- alvin.goldansky.1@24378.direct.athenahealth.com
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1669149787
Internal Medicine
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1639198674
-
- Radiation Oncology Physician
- Chandler, AZ
- NPI 1699426445
-
- Urology Physician
- Gilbert, AZ
- NPI 1144231895
-
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1902516362
-
- Hepatology Physician
- Chandler, AZ
- NPI 1831603505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1104846914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 W GLENDALE AVE",
"address_2": "STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85021",
"telephone_number": "602-864-6828",
"fax_number": "602-864-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 W GLENDALE AVE",
"address_2": "STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85021",
"telephone_number": "602-864-6828",
"fax_number": "602-864-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDANSKY",
"first_name": "ALVIN",
"middle_name": "EPHRAIN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "17891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0325850",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.