Active NPI
Neil J Goldberg, D.O.
- Interventional Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 1031
- Practice address
- 2632 N 20TH St
Phoenix, AZ 85006-1339 - Phone
- (602) 266-2200
- Fax
- (602) 604-5045
- NPI assigned
- Oct 12, 2005
- Last updated
- Oct 15, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 3653 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 1031 | AZ | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 1003 | AZ |
Addresses
Primary practice location
2632 N 20TH St
Phoenix, AZ 85006-1339
Mailing address
PO Box 61773
Phoenix, AZ 85082-1773
Phone (602) 682-6701
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00304261 | Other | AZ | RAILROAD MEDICARE |
| AZ0886080 | Other | AZ | BCBS # |
| WCSKQ | Other | AZ | SUN HEALTH GROUP # |
| 560054 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4981 | OH | MD | Optometrist |
| 1031 | AZ | MD | Interventional Cardiology Physician |
| 6353 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Cardiovascular Disease | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Sun Health MRI Center | Past | Accepting new patients | |
| VHS Arizona Heart Institute Inc | Cardiovascular Disease | Past | Accepting new patients |
| Advanced Cardiac Specialists, Chartered | Past | Accepting new patients | |
| Arizona Digestive Health, PC | Past | Accepting new patients |
Locations
6220 W Bell Rd
Ste 120
Glendale, AZ 85308
Phone (480) 587-6614
18404 N Tatum Blvd
Ste 201
Phoenix, AZ 85032
Phone (602) 277-6993
19841 N 27th Ave
Ste 101
Phoenix, AZ 85027
Phone (602) 439-1111
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080
9250 N 3rd St
Ste 3010
Phoenix, AZ 85020
Phone (623) 238-7750
10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919
10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 324-7217
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1184612251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61773",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850821773",
"telephone_number": "602-682-6701",
"fax_number": "602-240-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 N 20TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061339",
"telephone_number": "602-266-2200",
"fax_number": "602-604-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "NEIL",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "3653",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "1031",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "AZ",
"license": "1003",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00304261",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "AZ0886080",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH GROUP #",
"identifier": "WCSKQ",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560054",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.