Active NPI
Izik Goldman, DO
- Internal Medicine Physician
- Livonia, MI
National Provider Identifier
1386580389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5151018070
- Practice address
- 28711 8 Mile Rd Ste B
Livonia, MI 48152-2041 - Phone
- (248) 482-8830
- NPI assigned
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5151018070 | MI | Primary |
Addresses
Primary practice location
28711 8 Mile Rd Ste B
Livonia, MI 48152-2041
Mailing address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260511001298 | MI | Order and Referring Only - Internal Medicine | 3577031368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151018070 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1386580389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28050 GRAND RIVER AVE",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28711 8 MILE RD STE B",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522041",
"telephone_number": "248-482-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "IZIK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5151018070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.