Individual provider Active NPI

Peter Elliot Goldstein, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1154567980
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3677 Issued in TX
Practice address
2925 West Ave
San Antonio, TX 78201-2243
Phone
(210) 761-3393
Fax
(210) 761-3397
NPI assigned
Dec 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 180414 NY
Family Medicine Physician 207Q00000X N3677 TX Primary

Addresses

Primary practice location

2925 West Ave
San Antonio, TX 78201-2243

Mailing address

2925 West Ave
San Antonio, TX 78201-2243
Phone (210) 761-3393

Other practice location 1

7703 Floyd Curl Dr
MSC 7794 , Department of Family and Community Medicine
San Antonio, TX 78229-3901
Phone (210) 567-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090327000541 TX Practitioner - Family Practice 2365411600 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180414NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Fisher County Hospital District CurrentSince Oct 18, 2011 Accepting new patients
Fisher County Hospital District CurrentSince Oct 18, 2011 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Spirit Lake Tribe Past Accepting new patients
Emergency Physicians of Park Hudson PLLC Past Accepting new patients
Texas Emergency Room Services, PA Past Accepting new patients
Lagrange-True Texas Emergency Physicians PLLC Past Accepting new patients
Leatherland Emergency Physicians PLLC Past Accepting new patients
Arizona Ave Emergency Physicians Past Accepting new patients
Hondo Emergency Physicians PLLC Past Accepting new patients
Texas Emergency Room Services, PA Past Accepting new patients
CMC Housestaff Family Medicine Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1154567980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012243",
            "telephone_number": "210-761-3393",
            "fax_number": "210-761-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012243",
            "telephone_number": "210-761-3393",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_2": "MSC 7794 , Department of Family and Community Medicine",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-4550",
            "fax_number": "210-567-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "PETER",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "180414",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.