Individual provider Active NPI

Shira Goldstein, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1336415686
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0104807 Issued in MD
Practice address
408 W Lombard St
Baltimore, MD 21201-1601
Phone
(667) 214-2233
Fax
(410) 685-3142
NPI assigned
Mar 30, 2012
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD455040 PA
Family Medicine Physician 207Q00000X D0104807 MD Primary
Family Medicine Physician 207Q00000X R9217 TX

Addresses

Primary practice location

408 W Lombard St
Baltimore, MD 21201-1601

Mailing address

6410 Fannin St Ste 230
Houston, TX 77030-3002
Phone (832) 325-6500

Other practice location 1

6410 Fannin St Ste 170
Houston, TX 77030-3003
Phone (832) 325-6500

Other names 1

  • Shira Goldstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20251016002366 MD Practitioner - Family Practice 1254636897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8667

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100

408 W Lombard St
Baltimore, MD 21201-1601
Phone (667) 214-2100

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455040PAMDFamily Medicine Physician
R9217TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 22, 2025 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 22, 2025 Accepting new patients
Ut Physicians Specialty Services Family Medicine CurrentSince Jan 9, 2019 Accepting new patients

Locations

408 W Lombard St
Baltimore, MD 21201
Phone (667) 214-1899

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

Interoperability endpoints

  • Direct secure messaging: sgoldstein1311481@direct.umm.edu

Organizations & group practices 4

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 3

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1336415686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303002",
            "telephone_number": "832-325-6500",
            "fax_number": "713-512-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011601",
            "telephone_number": "667-214-2233",
            "fax_number": "410-685-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303003",
            "country_code": "US",
            "telephone_number": "832-325-6500",
            "fax_number": "713-512-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SHIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD455040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0104807",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRA",
            "last_name": "GOLDSTEIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.