Individual provider Active NPI

Amit Goldberg, M.D.

  • Hematology (Internal Medicine) Physician
  • Paducah, KY
National Provider Identifier
1265401343
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
46146 Issued in KY
Practice address
2501 Kentucky Ave.
Cancer Center Ste. 201
Paducah, KY 42003-3813
Phone
(270) 554-0011
Fax
(855) 782-1232
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 46146 KY
Hematology (Internal Medicine) Physician 207RH0000X 46146 KY Primary

Addresses

Primary practice location

2501 Kentucky Ave.
Cancer Center Ste. 201
Paducah, KY 42003-3813

Mailing address

2501 Kentucky Ave.
Cancer Center Ste. 201
Paducah, KY 42003-3813
Phone (270) 554-0011

Other practice location 1

Uk Division Of Hematology BMT
800 Rose Street, CC405
Lexington, KY 40536-0093
Phone (859) 323-2753

Other identifiers 1

IdentifierTypeStateIssuer
02638815MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoldberg27482@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130815000937 KY Practitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical Oncology 3971539297 Reassigns benefits to 1 organization
I20230609000013 NC Practitioner - Hematology 3971539297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 3, 2013 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
MMC Hematology Oncology FPP Hematology & Oncology Past Accepting new patients

Locations

800 Rose St
#405
Lexington, KY 40536
Phone (859) 257-6006

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

Interoperability endpoints

  • Direct secure messaging: agoldberg541689@direct.medicine.duke.edu

Organizations & group practices 3

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 6

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": "1606867200000",
    "number": "1265401343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE.",
            "address_2": "CANCER CENTER STE. 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-554-0011",
            "fax_number": "855-782-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE.",
            "address_2": "CANCER CENTER STE. 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-554-0011",
            "fax_number": "855-782-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uk Division Of Hematology BMT",
            "address_2": "800 Rose Street, CC405",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360093",
            "country_code": "US",
            "telephone_number": "859-323-2753",
            "fax_number": "859-257-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "46146",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "KY",
            "license": "46146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638815",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldberg27482@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2501 Kentucky Ave.",
            "address_2": "Cancer Center Ste. 201",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.