Active NPI
Michael Emanuel Goltzman, M.D.
- Urology Physician
- Danbury, CT
National Provider Identifier
1326570722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 69944
- Practice address
- 51-53 Kenosia Ave
Danbury, CT 06810-2304 - Phone
- (203) 748-0330
- Fax
- (203) 797-0255
- NPI assigned
- Apr 3, 2017
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 69944 | CT | Primary |
Addresses
Primary practice location
51-53 Kenosia Ave
Danbury, CT 06810-2304
Mailing address
51-53 Kenosia Ave
Danbury, CT 06810-2304
Phone (203) 748-0330
Other practice location 1
19 Woodland St Ste 23
Hartford, CT 06105-2368
Phone (860) 522-2251
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-3955
Phone (860) 679-3467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- New York Medical College, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
51 -53 Kenosia Ave
Danbury, CT 06810-2304
Phone (203) 748-0330
Hospital & facility affiliations
- Danbury Hospital
- Norwalk Hospital
- Putnam Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 18 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69944 | CT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of Danbury PC | Urology | Current | Accepting new patients |
| Prime Healthcare, PC | Current | Accepting new patients | |
| Prime Healthcare (Sleep Lab) | Current | Accepting new patients |
Locations
51-53 Kenosia Ave
Danbury, CT 06810
Phone (203) 748-0330
73 Sand Pit Rd
Ste 204
Danbury, CT 06810
Phone (203) 212-8000
19 Woodland St
Ste 23
Hartford, CT 06105
19 Woodland St
Ste 43
Hartford, CT 06105
Phone (860) 549-4600
30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253
Interoperability endpoints
- michael.goltzman@uaod.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Urology Physician
- Danbury, CT
- NPI 1932107034
-
- Internal Medicine Physician
- Wethersfield, CT
- NPI 1184819302
-
- Sleep Disorder Diagnostic Clinic/Center
- Wethersfield, CT
- NPI 1184832354
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1326570722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51-53 KENOSIA AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068102304",
"telephone_number": "203-748-0330",
"fax_number": "203-797-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51-53 KENOSIA AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068102304",
"telephone_number": "203-748-0330",
"fax_number": "203-797-0255"
}
],
"practiceLocations": [
{
"address_1": "19 Woodland St Ste 23",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061052368",
"country_code": "US",
"telephone_number": "860-522-2251",
"fax_number": "860-493-2552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060303955",
"country_code": "US",
"telephone_number": "860-679-3467",
"fax_number": "860-679-1460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLTZMAN",
"first_name": "MICHAEL",
"middle_name": "EMANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "69944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.