Active NPI
Hayden R Goltz, DO
- Internal Medicine Physician
- Webster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226840
- Practice address
- 1130 Crosspointe LN
Suite 8
Webster, NY 14580-2986 - Phone
- (585) 787-4407
- Fax
- (585) 787-4428
- NPI assigned
- Nov 14, 2005
- Last updated
- Apr 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 226840 | NY | Primary |
Addresses
Primary practice location
1130 Crosspointe LN
Suite 8
Webster, NY 14580-2986
Mailing address
1130 Crosspointe LN
Suite 8
Webster, NY 14580-2986
Phone (585) 787-4407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02424546 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6776
1130 Crosspointe LN
Suite 8
Webster, NY 14580-2986
Phone (585) 787-4407
15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560
350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Frederick Ferris Thompson Hospital | Current | Accepting new patients | |
| Spectrum Internal Medicine PLLC | Current | Accepting new patients | |
| The Frederick Ferris Thompson Hospital | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Beth Israel Medical Center | Internal Medicine | Past | Accepting new patients |
| Bimc Faculty Practice | Past | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1445 Portland Ave
Ste 302
Rochester, NY 14621
Phone (585) 544-0830
15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560
1130 Crosspointe Ln
Ste 8
Webster, NY 14580
Phone (585) 787-4407
Interoperability endpoints
- hgoltz572468@direct.urmc.rochester.edu
- https://fhir4.healow.com/fhir/r4/JCJGAA/Endpoint/JCJGAA
Organizations & group practices 9
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1902221518
-
- Primary Care Clinic/Center
- Rochester, NY
- NPI 1518193713
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
dba Highland Hospital Outpatient Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
dba UR Medicine Thompson Health Victor Medical Group Pharmacy
- Community/Retail Pharmacy
- Victor, NY
- NPI 1831914274
-
dba Medicine Associates of Bimc
- Internal Medicine Physician
- New York, NY
- NPI 1861457202
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rochester Regional Health Home Care
- Home Health Agency
- Rochester, NY
- NPI 1801819271
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1144202482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 CROSSPOINTE LN",
"address_2": "SUITE 8",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802986",
"telephone_number": "585-787-4407",
"fax_number": "585-787-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CROSSPOINTE LN",
"address_2": "SUITE 8",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802986",
"telephone_number": "585-787-4407",
"fax_number": "585-787-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTZ",
"first_name": "HAYDEN",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02424546",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.