Individual provider Active NPI

Stuart H Goldstein, DO

  • Surgery Physician
  • Pulaski, VA
National Provider Identifier
1326032178
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102049996 Issued in VA
Practice address
101 1St St NW Ste 2
Pulaski, VA 24301-5605
Phone
(540) 509-5269
Fax
(540) 980-0515
NPI assigned
Sep 8, 2005
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0102049996 VA Primary

Addresses

Primary practice location

101 1St St NW Ste 2
Pulaski, VA 24301-5605

Mailing address

101 1St St NW Ste 2
Pulaski, VA 24301-5605
Phone (540) 509-5269

Other identifiers 1

IdentifierTypeStateIssuer
010159199MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041228000923 VA Practitioner - General Surgery 9830092410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 1St St NW
Suite 2
Pulaski, VA 24301-5605
Phone (540) 577-4882

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux57
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Surgical Associates, Inc. Surgery CurrentSince Apr 29, 2020 Accepting new patients
Lebanon Surgical Associates Surgery Past Accepting new patients

Locations

101 1st St NW
Ste 2
Pulaski, VA 24301
Phone (540) 577-4882

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBDBCD/Endpoint/GBDBCD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1326032178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW STE 2",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "540-509-5269",
            "fax_number": "540-980-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST NW STE 2",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243015605",
            "telephone_number": "540-509-5269",
            "fax_number": "540-980-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STUART",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102049996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010159199",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

Verify at the official NPI Registry.