Active NPI
Richard A Goldstein, MD
- Otolaryngology Physician
- Henderson, NC
National Provider Identifier
1255396198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 93-00478
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040007095 | Other | NC | 040007095 |
| 561844153 | Other | NC | TRICARE/CHAMPUS |
| 0000000230578 | Other | NC | ANTHEM BCBS |
| 127333 | Other | NC | WELLPATH SELECT, INC. |
| 8936132 | Medicaid | NC | |
| 192218205207 | Other | NC | HUMANA CLAIMS OFFICE |
| 36132 | Other | NC | BCBS 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 93-00478 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a. Goldstein, M.D. | Otolaryngology | Past | 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.
-
- Audiologist-Hearing Aid Fitter
- Henderson, NC
- NPI 1669585915
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.
-
- Otolaryngology Physician
- Henderson, NC
- NPI 1750556791
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.