NPIMap

Individual provider Active NPI

Joshua J Goldman, MD

  • Plastic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1346509171
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
18895 Issued in NV
Practice address
1701 W Charleston Blvd Ste 190
Las Vegas, NV 89102-2312
Phone
(702) 671-5110
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 18895 NV Primary

Addresses

Primary practice location

1701 W Charleston Blvd Ste 190
Las Vegas, NV 89102-2312

Mailing address

2040 W Charleston Blvd Ste 302
Las Vegas, NV 89102-2230
Phone (702) 671-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180718002521 MI Practitioner - Plastic and Reconstructive Surgery 4284853342 Reassigns benefits to 1 organization
I20190816000893 NV Practitioner - Plastic and Reconstructive Surgery 4284853342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vegas Plastic Surgery Institute - Operating PLLCGroup PAC ID 5799170304, 2 clinicians

Practice addresses (Care Compare)

341 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0376
Phone (702) 727-8500

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vegas Plastic Surgery Institute- Operating PLLC Plastic Surgery CurrentSince Apr 1, 2022 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 15, 2018 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Unlv Medicine PastSince Aug 18, 2019 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

341 N Buffalo Dr
Ste B
Las Vegas, NV 89145
Phone (702) 727-8500

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1346509171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD STE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022230",
            "telephone_number": "702-671-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022312",
            "telephone_number": "702-671-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "18895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.