Active NPI
Jill D Goldenberg, MD
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1386662989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42941
- Practice address
- 950 E Harvard Ave
Ste 200
Denver, CO 80210-7006 - Phone
- (303) 649-3200
- Fax
- (303) 765-3201
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 42941 | CO | |
| Internal Medicine Physician | 207R00000X | 42941 | CO | Primary |
Addresses
Primary practice location
950 E Harvard Ave
Ste 200
Denver, CO 80210-7006
Mailing address
950 E Harvard Ave
Ste 200
Denver, CO 80210-7006
Phone (303) 649-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58955313 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42941 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Internal Medicine | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| New York Em-III Medical Services, PC | Internal Medicine | Past | Accepting new patients |
| Mount Sinai Diagnostic and Treatment Center | Past | Accepting new patients | |
| Philippe G Lopez MD PC | Past | Accepting new patients |
Locations
950 E Harvard Ave
Ste 200
Denver, CO 80210
Phone (303) 649-3200
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Interoperability endpoints
- ms_jgoldenb@landmarkhealth-direct.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Westminster, CO
- NPI 1699381350
Internal Medicine
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenwood Village, CO
- NPI 1871526897
-
- Clinic/Center
- New York, NY
- NPI 1669476156
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1053413120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1386662989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE",
"address_2": "STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802107006",
"telephone_number": "303-649-3200",
"fax_number": "303-765-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E HARVARD AVE",
"address_2": "STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802107006",
"telephone_number": "303-649-3200",
"fax_number": "303-765-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "JILL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "42941",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "42941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58955313",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.