Active NPI
Edward J Goldman, MD
- Ophthalmology Physician
- Owings Mills, MD
National Provider Identifier
1285638213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D30288
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T913 | Other | MD | CAREFIRST FEDERAL |
| 760010100 | Medicaid | MD | |
| KA47 | Other | MD | CAREFIRST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090325000638 | MD | Practitioner - Ophthalmology | 6204928476 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D30288 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ophthalmology Physician
- Owings Mills, MD
- NPI 1255456299
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- Frederick, MD
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-
- General Acute Care Hospital
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Ophthalmology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.