NPIMap

Organization Active NPI

Gold Diagnostics Corp

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1346824554
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLD DIAGNOSTICS CORP
Practice address
10101 Fondren Rd Ste 112
Houston, TX 77096-4679
Phone
(281) 912-3264
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Authorized official

Name
Dr. Ryan GoldsteinNPI 1447647649
Title
MD
Phone
(713) 581-4715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10101 Fondren Rd Ste 112
Houston, TX 77096-4679

Mailing address

10101 Fondren Rd Ste 112
Houston, TX 77096-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WY, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210616002821 TX Part B Supplier - Clinic/Group Practice 2961802699 Receives reassigned benefits from 20 practitioners
Practice locations: Houston, TX
O20230113000057 FL Part B Supplier - Clinic/Group Practice 2961802699 Receives reassigned benefits from 16 practitioners
Practice locations: Hollywood, FL
O20240826001069 WY Part B Supplier - Clinic/Group Practice 2961802699 Receives reassigned benefits from 6 practitioners
Practice locations: Sheridan, WY
O20241008000015 CO Part B Supplier - Clinic/Group Practice 2961802699 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

6633 Bellfort St
Houston, TX 77087
Phone (281) 912-3264

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

1851 Big Horn Ave
Sheridan, WY 82801
Phone (307) 674-4416

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1346824554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964679",
            "telephone_number": "281-912-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD DIAGNOSTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "713-581-4715",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.