Individual provider Active NPI

Neil J Goldberg, D.O.

  • Interventional Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1184612251
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
1031 Issued in AZ
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00304261OtherAZRAILROAD MEDICARE
AZ0886080OtherAZBCBS #
WCSKQOtherAZSUN HEALTH GROUP #
560054MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000587 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789585670 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4981OHMDOptometrist
1031AZMDInterventional Cardiology Physician
6353AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Oct 14, 2013 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2013 Accepting new patients
Sun Health MRI Center Past Accepting new patients
VHS Arizona Heart Institute Inc Cardiovascular Disease PastSince Sep 15, 2010 Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients
Arizona Digestive Health, PC PastSince Feb 1, 2009 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.

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

Verify at the official NPI Registry.