Active NPI
Ian L Goldman, MD
- Urology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 21363
- Practice address
- 17300 N Perimeter Dr Ste 220
Scottsdale, AZ 85255-6703 - Phone
- (480) 661-2661
- Fax
- (623) 900-6791
- NPI assigned
- Jun 7, 2006
- Last updated
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 21363 | AZ | Primary |
Addresses
Primary practice location
17300 N Perimeter Dr Ste 220
Scottsdale, AZ 85255-6703
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Other practice location 1
340 S Willard St Ste 101
Cottonwood, AZ 86326-4126
Phone (928) 213-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839847 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Nevada School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1313 E Osborn Rd
Suite 150
Phoenix, AZ 85014-5688
Phone (602) 222-1900
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Urology | Current | Accepting new patients |
| Arizona Urology Specialists, PLLC | Urology | Current | Accepting new patients |
| Foothills Urology, PC | Urology | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology PLC | Urology | Past | Accepting new patients |
Locations
1712 Sycamore Ave
Kingman, AZ 86409
Phone (928) 681-8570
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188
1313 E Osborn Rd
Ste 150
Phoenix, AZ 85014
Phone (602) 264-4431
17300 N Perimeter Dr
Ste 220
Scottsdale, AZ 85255
Phone (480) 661-2661
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
Interoperability endpoints
- ian.goldman@nwugoldman.directbygreenway.com
- iangoldman@fu.allscriptsdirect.net
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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1740426485
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
dba KRMC Community Pharmacy
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Urology Physician
- Golden, CO
- NPI 1780617795
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
Urology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1255371357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 N PERIMETER DR STE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556703",
"telephone_number": "480-661-2661",
"fax_number": "623-900-6791"
}
],
"practiceLocations": [
{
"address_1": "340 S Willard St Ste 101",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863264126",
"country_code": "US",
"telephone_number": "928-213-6235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDMAN",
"first_name": "IAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "21363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "839847",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.