Individual provider Active NPI

Ian L Goldman, MD

  • Urology Physician
  • Scottsdale, AZ
National Provider Identifier
1255371357
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21363 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
839847MedicaidAZ

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
I20060313000280 AZ Practitioner - Urology 2961391453 Reassigns benefits to 3 organizations

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
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

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

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Kingman Healthcare, Inc Urology CurrentSince Apr 1, 2022 Accepting new patients
Arizona Urology Specialists, PLLC Urology CurrentSince Jun 1, 2022 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Apr 1, 2022 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

  • Direct secure messaging: ian.goldman@nwugoldman.directbygreenway.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.