Individual provider Active NPI

Phillip J. Goldstein, M.D.

  • Gastroenterology Physician
  • Greenville, NC
National Provider Identifier
1346406147
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2009-02033 Issued in NC
Practice address
704 WH Smith Blvd
Carolina Digestive Diseases, PA
Greenville, NC 27834-3761
Phone
(252) 758-8181
Fax
(252) 758-8182
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X AT3436929 NY
Gastroenterology Physician 207RG0100X 2009-02033 NC Primary

Addresses

Primary practice location

704 WH Smith Blvd
Carolina Digestive Diseases, PA
Greenville, NC 27834-3761

Mailing address

704 WH Smith Blvd
Carolina Digestive Diseases, PA
Greenville, NC 27834-3761
Phone (252) 758-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100630000488 NC Practitioner - Internal MedicinePractitioner - Gastroenterology 2860523131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Digestive Diseases PAGroup PAC ID 8820097793, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

704 WH Smith Blvd
Greenville, NC 27834-3761
Phone (252) 758-8181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy143
Upper gastrointestinal (GI) endoscopy for acid reflux242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-02033NCMDGastroenterology Physician
AT3436929NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Diseases, PA Gastroenterology CurrentSince Jun 30, 2010 Accepting new patients
Carolina Digestive Diseases, PA Gastroenterology CurrentSince Jun 30, 2010 Accepting new patients

Locations

704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1346406147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WH SMITH BLVD",
            "address_2": "CAROLINA DIGESTIVE DISEASES, PA",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343761",
            "telephone_number": "252-758-8181",
            "fax_number": "252-758-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WH SMITH BLVD",
            "address_2": "CAROLINA DIGESTIVE DISEASES, PA",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343761",
            "telephone_number": "252-758-8181",
            "fax_number": "252-758-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "PHILLIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "AT3436929",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2009-02033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.