Individual provider Active NPI

Steven Jay Goldstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warrenton, VA
National Provider Identifier
1174058689
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301283 Issued in VA
Practice address
400D Hospital Dr
Warrenton, VA 20186-3026
Phone
(540) 347-9393
Fax
(540) 347-9398
NPI assigned
Apr 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301283 VA Primary
Podiatrist 213E00000X 0103301283 VA

Addresses

Primary practice location

400D Hospital Dr
Warrenton, VA 20186-3026

Mailing address

400D Hospital Dr
Warrenton, VA 20186-3026
Phone (540) 347-9393

Other practice location 1

3700 Joseph Siewick Dr Ste 200
Fairfax, VA 22033-1737
Phone (703) 264-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200521000172 VA Practitioner - Podiatry 5597035659 Reassigns benefits to 1 organization
I20200826003330 DC Practitioner - Podiatry 5597035659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3700 Joseph Siewick Dr
Fairfax, VA 22033-1737

400 A Hospital Dr
Warrenton, VA 20186-3026

Hospital & facility affiliations

  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue139
Removal of skin lesions92
Removal of nail tissue756
Removal or shaving of skin growth632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301283VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ken E Goldstein Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1174058689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400D HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-9393",
            "fax_number": "540-347-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400D HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-347-9393",
            "fax_number": "540-347-9398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Joseph Siewick Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331737",
            "country_code": "US",
            "telephone_number": "703-264-0500",
            "fax_number": "703-264-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301283",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.