Individual provider Active NPI

James A Goldstein, MD

  • Cardiovascular Disease Physician
  • Royal Oak, MI
National Provider Identifier
1407830847
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301064431 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone
(248) 898-4163
Fax
(248) 898-5596
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301064431 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

3601 W 14 Mile Rd
3Rd Floor Beaumont Hear
Royal Oak, MI 48073-1659
Phone (248) 898-4163

Other identifiers 1

IdentifierTypeStateIssuer
3083849MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100227000089 MI Practitioner - Cardiovascular Disease (Cardiology) 3476448341 Reassigns benefits to 1 organization
I20211001001806 AZ Practitioner - Cardiovascular Disease (Cardiology) 3476448341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Chicago, Pritzker School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32255 Northwestern Hwy 115
Millennium Cardiology
Farmington Hills, MI 48334-1538
Phone (248) 587-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064431MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Sep 23, 2024 Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Oct 11, 2021 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 11, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients

Locations

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

32255 Northwestern Hwy
Ste 115
Farmington Hills, MI 48334
Phone (248) 587-2300

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 104
Madison Heights, MI 48071
Phone (248) 587-2300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073

3601 W 13 Mile Rd
Fl 3
Royal Oak, MI 48073
Phone (248) 545-0070

Interoperability endpoints

  • Direct secure messaging: jgoldstein1456442@epic00.shdirect.org

Organizations & group practices 5

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 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1407830847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 14 MILE RD",
            "address_2": "3RD FLOOR BEAUMONT HEAR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731659",
            "telephone_number": "248-898-4163",
            "fax_number": "248-898-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-4163",
            "fax_number": "248-898-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301064431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.