Individual provider Active NPI

Dmitry Y Goldin, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1295965762
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME129186 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-5600
Fax
(317) 705-5047
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME129186 FL
Diagnostic Radiology Physician 2085R0202X 036138512 IL
Vascular & Interventional Radiology Physician 2085R0204X 036138512 IL
Vascular & Interventional Radiology Physician 2085R0204X D85994 MD
Diagnostic Radiology Physician 2085R0202X ME129186 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049
Phone (301) 358-6070

Other practice location 1

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 898-8200

Other practice location 2

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000

Other practice location 3

7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049
Phone (301) 358-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20161031002243 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1254562812 Reassigns benefits to 3 organizations
I20260527000150 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1254562812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Illinois Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 200-2355

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316
Phone (407) 846-4343

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 830-4321

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110

900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355

Hospital & facility affiliations

  • Adventhealth Riverview Hospital, Riverview, FL, CCN 100364
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129186FLMDVascular & Interventional Radiology Physician
036138512ILMDVascular & Interventional Radiology Physician
D85994MDMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jun 21, 2018 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Precision Vein Center Inc Vascular & Interventional Radiology PastSince Mar 7, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dgoldin554964@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 8

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1295965762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 130",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133049",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-5600",
            "fax_number": "317-705-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253661",
            "country_code": "US",
            "telephone_number": "773-898-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 E Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134613",
            "country_code": "US",
            "telephone_number": "813-971-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7704 Matapeake Business Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206133049",
            "country_code": "US",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "DMITRY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME129186",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036138512",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036138512",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D85994",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME129186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.