Individual provider Active NPI

Edward J Goldman, MD

  • Ophthalmology Physician
  • Owings Mills, MD
National Provider Identifier
1285638213
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D30288 Issued in MD
Practice address
25 Crossroads Dr
Ste 412
Owings Mills, MD 21117-5439
Phone
(443) 394-6400
Fax
(443) 394-9850
NPI assigned
Jun 8, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D30288 MD Primary

Addresses

Primary practice location

25 Crossroads Dr
Ste 412
Owings Mills, MD 21117-5439

Mailing address

25 Crossroads Dr
Ste 412
Owings Mills, MD 21117-5439
Phone (443) 394-6400

Other identifiers 3

IdentifierTypeStateIssuer
T913OtherMDCAREFIRST FEDERAL
760010100MedicaidMD
KA47OtherMDCAREFIRST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL egoldman@retinacenter.intellechartdirect.net Other Edward J. Goldman, M.D.,P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090325000638 MD Practitioner - Ophthalmology 6204928476

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D30288MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Ophthalmology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285638213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "address_2": "STE 412",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "443-394-6400",
            "fax_number": "443-394-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "address_2": "STE 412",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "443-394-6400",
            "fax_number": "443-394-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D30288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL",
            "identifier": "T913",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760010100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KA47",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "egoldman@retinacenter.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Edward J. Goldman, M.D.,P.A.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "25 Crossroads Dr",
            "address_2": "Ste 412",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.