NPIMap

Individual provider Active NPI

Craig I Goldstein, MD

  • Emergency Medicine Physician
  • Hartford, WI
National Provider Identifier
1417064189
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17315 Issued in SD
Practice address
1032 E Sumner St
Hartford, WI 53027-1608
Phone
(262) 673-2300
NPI assigned
Aug 25, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17315 SD Primary
Emergency Medicine Physician 207P00000X 036070557 IL
Internal Medicine Physician 207R00000X 036070557 IL

Addresses

Primary practice location

1032 E Sumner St
Hartford, WI 53027-1608

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other practice location 1

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3700

Other practice location 2

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone (262) 245-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, AZ, SD4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070612000325 WI Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 0143205195 Reassigns benefits to 2 organizations
I20200306000313 TX Practitioner - Emergency Medicine 0143205195 Reassigns benefits to 1 organization
I20200406002748 AZ Practitioner - Emergency Medicine 0143205195 Reassigns benefits to 1 organization
I20210212000659 SD Practitioner - Emergency Medicine 0143205195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Medical College of Wisconsin, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17315SDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Bisbee Hospital Association CurrentSince Feb 8, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine CurrentSince Jan 4, 2020 Accepting new patients
Bisbee Hospital Association CurrentSince Feb 8, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jan 4, 2020 Accepting new patients
Sanford Health Network CurrentSince Feb 7, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Northern Cochise Community Hospital Inc Past Accepting new patients
Holy Family Medical Center Past Accepting new patients
Rush Oak Park Hospital, Inc. Internal Medicine Past Accepting new patients
Illinois/Indiana Em-I Medical Services, S.C. Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Interoperability endpoints

  • Direct secure messaging: cgoldstein815@direct.mhemail.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1417064189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271608",
            "telephone_number": "262-673-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Plum St",
            "address_purpose": "LOCATION",
            "city": "Vermillion",
            "state": "SD",
            "postal_code": "570693346",
            "country_code": "US",
            "telephone_number": "605-677-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N2950 State Road 67",
            "address_purpose": "LOCATION",
            "city": "Lake Geneva",
            "state": "WI",
            "postal_code": "531472655",
            "country_code": "US",
            "telephone_number": "262-245-0535",
            "fax_number": "262-245-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "CRAIG",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "17315",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036070557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036070557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

Verify at the official NPI Registry.