Michael B Goldberg, M.D.
Individual provider Active NPI Surgery Physician · Wilmington, DE
NPI 1114206752 · NPPES record last updated May 18, 2020
Key facts
- NPI
- 1114206752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MT199426 (PA)
- Practice address
- 501 W 14TH St
Wilmington, DE 19801-1013 - Phone
- (302) 320-4175
- NPI assigned
- Aug 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 32
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Rutgers New Jersey Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
501 W 14TH St Wilmington Hospital
CCHS Surgery
Wilmington, DE 19801-1013
Phone (302) 623-3850
Hospital & facility affiliations
- Christiana Hospital
- Jefferson Einstein Philadelphia Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180301000112 | PA | Practitioner - General Surgery | 4789970344 | Reassigns benefits to 1 organization |
| I20200324003934 | DE | Practitioner - General Surgery | 4789970344 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT199426 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Surgery | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Fl Ctr
Wilmington, DE 19801
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT199426 | PA | Yes |
Addresses
Primary practice location
501 W 14TH St
Wilmington, DE 19801-1013
Mailing address
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4175
Other providers in Wilmington, DE
- Richard Meyer Gold
- Dana Joy Goldberg
- Erika Justine Goldberg
- Joseph G. Goldberg
- Laura Ann Goldberg
- Golden Hour Lactation, Inc
- Marti C. Goldenberg
- Joseph Goldfedder
- Allan Charles Goldfeder
- Katheryn Goldman
All providers in Wilmington, DE · Surgery Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.