Individual provider Active NPI

Richard A Goldstein, MD

  • Otolaryngology Physician
  • Henderson, NC
National Provider Identifier
1255396198
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
93-00478 Issued in NC
Practice address
857 S Beckford Dr
Ste E
Henderson, NC 27536-3486
Phone
(252) 492-5600
Fax
(252) 492-5685
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 93-00478 NC Primary

Addresses

Primary practice location

857 S Beckford Dr
Ste E
Henderson, NC 27536-3486

Mailing address

857 S Beckford Dr
Ste E
Henderson, NC 27536-3486
Phone (252) 492-5600

Other identifiers 7

IdentifierTypeStateIssuer
040007095OtherNC040007095
561844153OtherNCTRICARE/CHAMPUS
0000000230578OtherNCANTHEM BCBS
127333OtherNCWELLPATH SELECT, INC.
8936132MedicaidNC
192218205207OtherNCHUMANA CLAIMS OFFICE
36132OtherNCBCBS OF NORTH CAROLINA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080605000481 NC Practitioner - Otolaryngology 5890865687 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

857 S Beckford Dr
Suite E
Henderson, NC 27536-3486
Phone (252) 492-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93-00478NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Goldstein, M.D. Otolaryngology PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1255396198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "STE E",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-492-5600",
            "fax_number": "252-492-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 S BECKFORD DR",
            "address_2": "STE E",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363486",
            "telephone_number": "252-492-5600",
            "fax_number": "252-492-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "93-00478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "040007095",
            "identifier": "040007095",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "561844153",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0000000230578",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH SELECT, INC.",
            "identifier": "127333",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936132",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CLAIMS OFFICE",
            "identifier": "192218205207",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "36132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.