NPIMap

Individual provider Active NPI

Emma Goodstein, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1407389471
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NOT AVAILABLE Issued in AZ
Practice address
2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279
Phone
(505) 982-4425
NPI assigned
Apr 6, 2017
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NOT AVAILABLE AZ Primary

Addresses

Primary practice location

2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279

Mailing address

2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279
Phone (505) 982-4425

Other practice location 1

3950 S Country Club Rd
Tucson, AZ 85714-2099
Phone (520) 874-4880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911000462 NM Practitioner - Family Practice 8325303571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NOT AVAILABLEAZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital Family Medicine CurrentSince Mar 7, 2024 Accepting new patients
St. Vincent Hospital CurrentSince Mar 7, 2024 Accepting new patients
St Vincent Hospital Current Accepting new patients
La Familia Medical Center CurrentSince Oct 1, 2020 Accepting new patients
La Familia Medical Center CurrentSince Oct 1, 2020 Accepting new patients
La Familia Medical Center Family Medicine Past Accepting new patients

Locations

600 Mills Ave
Ste B
Las Vegas, NM 87701
Phone (505) 425-2673

1035 Alto St
Santa Fe, NM 87501
Phone (505) 982-4425

2145 Caja del Oro Grant Rd
Santa Fe, NM 87507
Phone (505) 438-3195

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

Interoperability endpoints

  • Direct secure messaging: egoodstein235250@christushealth.direct-ci.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1407389471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 CAJA DEL ORO GRANT RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073279",
            "telephone_number": "505-982-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 CAJA DEL ORO GRANT RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073279",
            "telephone_number": "505-982-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 S Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857142099",
            "country_code": "US",
            "telephone_number": "520-874-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODSTEIN",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "NOT AVAILABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.