NPIMap

Individual provider Active NPI

Daniel J. Goldstein, M.D.

  • Internal Medicine Physician
  • Northfield, IL
National Provider Identifier
1265401335
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036097750 Issued in IL
Practice address
1622 Willow Rd Ste 101
Northfield, IL 60093-3450
Phone
(224) 255-5600
Fax
(224) 255-5661
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036097750 IL Primary

Addresses

Primary practice location

1622 Willow Rd Ste 101
Northfield, IL 60093-3450

Mailing address

1622 Willow Rd Ste 101
Northfield, IL 60093-3450
Phone (224) 255-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001117 IL Practitioner - Internal Medicine 7810182177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Focus Medical Care LLCGroup PAC ID 2961402482, 10 clinicians

Practice addresses (Care Compare)

990 S Waukegan Rd
Suite 200
Lake Forest, IL 60045-2654

990 S Waukegan Rd
Suite 200
Lake Forest, IL 60045-2655
Phone (847) 234-8100

Hospital & facility affiliations

  • Residential Home Health Home health agency, Northbrook, IL, CCN 147001
  • Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
  • Accord Hospice Hospice, Deerfield, IL, CCN 141650
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Shirley Ryan Abilitylab Inpatient rehabilitation facility, Chicago, IL, CCN 143026

Merit-based Incentive Payment System (MIPS)

Final score
53.64 of 100Reported as group
Quality
20.75
Promoting interoperability
100
Improvement activities
0
Cost
74.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097750ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of the North Shore Current Accepting new patients
Forward Focus Medical Care LLC Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients

Locations

900 N Westmoreland Rd
Ste 104
Lake Forest, IL 60045
Phone (847) 234-5094

990 S Waukegan Rd
Ste 200
Lake Forest, IL 60045
Phone (847) 234-8100

1622 Willow Rd
Ste 101
Northfield, IL 60093
Phone (224) 255-5600

9555 Gross Point Rd
Skokie, IL 60076
Phone (847) 679-3411

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1265401335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 WILLOW RD STE 101",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933450",
            "telephone_number": "224-255-5600",
            "fax_number": "224-255-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 WILLOW RD STE 101",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933450",
            "telephone_number": "224-255-5600",
            "fax_number": "224-255-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.