Individual provider Active NPI

Jill D Goldenberg, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1386662989
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42941 Issued in CO
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

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
58955313MedicaidCO

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42941COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 1, 2017 Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Apr 1, 2017 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 PastSince Jun 16, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.