Andrew Shirali Goldblum, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

34.017782 Issued in OH

Practice address

33355 Health Campus Blvd
Avon, OH 44011-1399

Phone

(440) 934-0489

NPI assigned

Mar 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physical Medicine and Rehabilitation

Education

Ohio State University College of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agoldblum640893@ehrdirect.uhhospitals.org

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.

• Post-Acute Physicians of Ohio PLLC

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
  • NPI 1194121616
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Hospitals Conneaut Medical Center

  • Critical Access Hospital
  • Conneaut, OH
  • NPI 1902996119
  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1295296093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33355 HEALTH CAMPUS BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111399",
            "telephone_number": "440-934-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Science Park Dr",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441227333",
            "country_code": "US",
            "telephone_number": "216-455-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 Fairhill Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441201062",
            "country_code": "US",
            "telephone_number": "216-983-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Akron General Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072432",
            "country_code": "US",
            "telephone_number": "330-344-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4389 Medina Rd",
            "address_purpose": "LOCATION",
            "city": "Copley",
            "state": "OH",
            "postal_code": "443211388",
            "country_code": "US",
            "telephone_number": "234-815-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBLUM",
        "first_name": "ANDREW",
        "middle_name": "SHIRALI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.017782",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "34.017782",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.017782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350955",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Gipper, M.S. CCC-SLP
• Sara Castilano Glasenapp, PA-C
• Ava Gleason, LPC
• Kathryn Rae Goebel, MD
• Lester Goetz, PT
• Golden Pathways Senior Care & Solutions LLC
• Good Samaritan Health Group, Inc
• Good Samaritan Nursing Home, LLC
• Donna Goodwin, APRN, CNP
• Irene Chryssovalantou Grabovac, NP

• Pain Medicine (Anesthesiology) Physician in Avon, OH
• Providers in Avon, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.

Verify at the official NPI Registry.