Individual provider Active NPI

Alvin Ephrain Goldansky, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1104846914
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17891 Issued in AZ
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

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ0325850OtherAZBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001368 AZ Practitioner - Internal Medicine 4385773506 Reassigns benefits to 2 organizations

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
Valley Primary Care Physicians LLCGroup PAC ID 0244221158, 3 clinicians
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

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

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17891AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Primary Care Physicians, LLC Internal Medicine CurrentSince Jul 1, 1966 Accepting new patients
Healthyu Family Medicine, LLC Internal Medicine CurrentSince Aug 18, 2025 Accepting new patients
Ajay Bhatnagar, PLLC Past Accepting new patients
Institute for Liver Health, LLC PastSince Jan 1, 2022 Accepting new patients
Healthyu Phoenix 31St Avenue, LLC PastSince Dec 6, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.