Individual provider Active NPI

Gary M Goldstein, M.D.

  • Pediatrics Physician
  • Palm Harbor, FL
National Provider Identifier
1215995345
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME55717 Issued in FL
Practice address
3890 Tampa Rd
Suite 102
Palm Harbor, FL 34684-3676
Phone
(727) 789-5811
Fax
(727) 786-8417
NPI assigned
May 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME55717 FL
Pediatrics Physician 208000000X ME55717 FL Primary

Addresses

Primary practice location

3890 Tampa Rd
Suite 102
Palm Harbor, FL 34684-3676

Mailing address

3890 Tampa Rd
Suite 102
Palm Harbor, FL 34684-3676
Phone (727) 789-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100820000916 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7517868623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3890 Tampa Rd
Suite 307
Palm Harbor, FL 34684-3677
Phone (727) 789-5811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME55717FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Harbor Internal Medicine and Pediatrics, PA Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients
Suncoast Retina Consultants, LLC Past Accepting new patients

Locations

3890 Tampa Rd
Ste 101
Palm Harbor, FL 34684
Phone (727) 786-8217

3890 Tampa Rd
Ste 102
Palm Harbor, FL 34684
Phone (727) 781-3150

3890 Tampa Rd
Ste 307
Palm Harbor, FL 34684
Phone (727) 786-6155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215995345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 102",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-789-5811",
            "fax_number": "727-786-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 102",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-789-5811",
            "fax_number": "727-786-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55717",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.