Individual provider Active NPI

Wayne Goldstein, DPM

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1154426146
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0002378 Issued in FL
Practice address
6021 142ND Ave N
Clearwater, FL 33760-2822
Phone
(727) 796-6900
Fax
(727) 669-8417
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO0002378 FL Primary

Addresses

Primary practice location

6021 142ND Ave N
Clearwater, FL 33760-2822

Mailing address

6021 142ND Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000548 FL Practitioner - Podiatry 0446252977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KG Health Partners IncGroup PAC ID 7214820976, 19 clinicians

Practice addresses (Care Compare)

6021 142ND Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002378FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
KG Health Partners, Inc Podiatrist CurrentSince Mar 10, 2026 Accepting new patients
Florida Foot & Ankle Care, LLC Podiatrist PastSince Feb 21, 2017 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Past Accepting new patients
Womens Physical Therapy Inc Past Accepting new patients

Locations

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1154426146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.