Individual provider Active NPI

Isaac M Goldberg, MD

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1386683548
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0906 Issued in TX
Practice address
4301 Garth Rd
Suite 400
Baytown, TX 77521
Phone
(832) 548-5000
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0906 TX Primary
Obstetrics & Gynecology Physician 207V00000X G0906 TX

Addresses

Primary practice location

4301 Garth Rd
Suite 400
Baytown, TX 77521

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other identifiers 2

IdentifierTypeStateIssuer
135160309MedicaidTX
080462703MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000609 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8123024767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

4301 Garth Rd
Baytown, TX 77521-3153
Phone (281) 420-8400

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G0906TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Apr 13, 2015 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Apr 13, 2015 Accepting new patients

Locations

4301 Garth Rd
Ste 306
Baytown, TX 77521
Phone (281) 420-8408

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

4301 Garth Rd
Ste 302
Baytown, TX 77521
Phone (281) 420-8400

4301 Garth Rd
Fl 4
Baytown, TX 77521
Phone (281) 420-8400

4301 Garth Rd
Ste 400
Baytown, TX 77521
Phone (281) 420-8400

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Interoperability endpoints

  • Direct secure messaging: igoldberg284967@directhoustonmethodist.org

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1386683548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 400",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ISAAC",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0906",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G0906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135160309",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.