Grant T Goldsberry, MD
Individual provider Active NPI Diagnostic Radiology Physician · Alleman, IA
NPI 1235228685 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1235228685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 28186 (SC)
- Practice address
- 1636 NE 126TH Ave
Alleman, IA 50007-9725 - Phone
- (843) 814-6553
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Broadlawns Medical Center
Pella Regional Health Center
Innovative Radiology LLC
Practice addresses (Care Compare)
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
404 E 2ND St
Prairie City Medical Clinic
Prairie City, IA 50228-8829
Phone (515) 994-2617
404 Jefferson St
Pella, IA 50219-1257
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
7601 Office Plaza Dr N
Suite 115
West Des Moines, IA 50266-2338
Phone (515) 222-0550
Hospital & facility affiliations
- Wayne County Hospital
- Pella Regional Health Center
- Compass Memorial Healthcare
- Broadlawns Medical Center
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110712000217 | IA | Practitioner - Diagnostic Radiology |
9032398730 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28186 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Innovative Radiology, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pin Point Radiology Practice Group, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
7601 Office Plaza Dr N
Ste 115
West Des Moines, IA 50266
Phone (515) 222-0550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 28186 | SC | Yes |
Addresses
Primary practice location
1636 NE 126TH Ave
Alleman, IA 50007-9725
Mailing address
1636 NE 126TH Ave
Alleman, IA 50007-9725
Phone (843) 814-6553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281867 | Medicaid | SC |
Other providers in Alleman, IA
All providers in Alleman, IA · Diagnostic Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.