Active NPI
Phillip J. Goldstein, M.D.
- Gastroenterology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2009-02033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Digestive Diseases PA
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 143 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-02033 | NC | MD | Gastroenterology Physician |
| AT3436929 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Digestive Diseases, PA | Gastroenterology | Current | Accepting new patients |
| Carolina Digestive Diseases, PA | Gastroenterology | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Greenville, NC
- NPI 1023257300
Gastroenterology
-
- Gastroenterology Physician
- Greenville, NC
- NPI 1447339767
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ahoskie, NC
- NPI 1467441394
-
- Critical Access Hospital
- Edenton, NC
- NPI 1477541183
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.