Active NPI
Peter Elliot Goldstein, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N3677
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180414 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| Health and Human Services Commission | Current | 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.
-
- Land Ambulance
- Rotan, TX
- NPI 1497878524
-
- Emergency Medicine Physician
- Rotan, TX
- NPI 1699898726
-
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
-
- Emergency Medicine Physician
- Sweetwater, TX
- NPI 1205084324
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1447447230
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1659383685
-
- Emergency Medicine Physician
- La Grange, TX
- NPI 1801057401
-
- Emergency Medicine Physician
- Yoakum, TX
- NPI 1952313926
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1275584781
-
- Emergency Medicine Physician
- Yoakum, TX
- NPI 1669422895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.