Active NPI
David Goldgrab, D.O.
- Interventional Cardiology Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- OS16986
- Practice address
- 635 Eichenfeld Dr
Brandon, FL 33511-5908 - Phone
- (813) 684-6000
- Fax
- (813) 654-9032
- NPI assigned
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | OS16986 | FL | Primary |
Addresses
Primary practice location
635 Eichenfeld Dr
Brandon, FL 33511-5908
Mailing address
635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone (813) 684-6000
Other practice location 1
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Other practice location 2
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427002916 | FL | Practitioner - Cardiovascular Disease (Cardiology) | 6709170632 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Palm Cardiovascular Associates LLC
Practice addresses (Care Compare)
2300 S Congress Ave
Suite 105
Boynton Beach, FL 33426-7400
Phone (561) 515-0080
Hospital & facility affiliations
- Bethesda Hospital East
- Delray Medical Center
- Boca Raton Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16986 | FL | MD | Interventional Cardiology Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Palm Cardiovascular Associates LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Bay Area Cardiology Assoc. PA | Current | Accepting new patients | |
| South Palm Cardiovascular Associates LLC | Current | Accepting new patients |
Locations
2300 S Congress Ave
Ste 105
Boynton Beach, FL 33426
Phone (561) 733-5001
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
635 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 684-6000
13550 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 637-4200
6238 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 278-1910
3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719
3920 Galen Ct
Sun City Center, FL 33573
Phone (813) 684-6000
4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104
Organizations & group practices 5
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.
-
- Cardiac Rehabilitation Clinic/Center
- Delray Beach, FL
- NPI 1033997770
FL
-
- Cardiovascular Disease Physician
- Delray Beach, FL
- NPI 1538521414
FL
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1144675331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 EICHENFELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115908",
"telephone_number": "813-684-6000",
"fax_number": "813-654-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 EICHENFELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115908",
"telephone_number": "813-684-6000",
"fax_number": "813-654-9032"
}
],
"practiceLocations": [
{
"address_1": "119 Oakfield Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115779",
"country_code": "US",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grand St",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060522016",
"country_code": "US",
"telephone_number": "860-224-5261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDGRAB",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "OS16986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.