Individual provider Active NPI

Amir Goldenberg, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1295720746
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S9886 Issued in TX
Practice address
8411 W Bellfort St
Houston, TX 77071-2205
Phone
(713) 429-0808
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME126279 FL
Internal Medicine Physician 207R00000X S9886 TX Primary

Addresses

Primary practice location

8411 W Bellfort St
Houston, TX 77071-2205

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (713) 429-0808

Other practice location 1

3700 Johnson St
Hollywood, FL 33021-6031
Phone (954) 265-2550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoldenberg131043@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20160105001277 FL Practitioner - Internal Medicine 8123056041 Reassigns benefits to 1 organization
I20210311000044 TX Practitioner - Internal Medicine 8123056041 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126279FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Texas PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince Apr 6, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2016 Accepting new patients
South Broward Hospital District Current Accepting new patients
Dedicated Physicians Group of Texas, PLLC PastSince Feb 7, 2021 Accepting new patients

Locations

3700 Johnson St
Hollywood, FL 33021
Phone (954) 265-2550

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

2217 N University Dr
Pembroke Pines, FL 33024
Phone (954) 883-8140

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

8121 Broadway St
Ste 150
Houston, TX 77061
Phone (832) 709-2770

Interoperability endpoints

  • Direct secure messaging: agoldenberg131043@mhsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1295720746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "713-429-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 W BELLFORT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712205",
            "telephone_number": "713-429-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216031",
            "country_code": "US",
            "telephone_number": "954-265-2550",
            "fax_number": "954-265-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126279",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldenberg131043@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.