Individual provider Active NPI

Craig A Goldstein, DO

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1437158391
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
2000161122 Issued in MO
Practice address
500 NW 68TH St
Kansas City, MO 64118-2455
Phone
(913) 322-6675
NPI assigned
Jul 21, 2005
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0161122 MO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X DO161122 MO
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 0528836 KS
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 2000161122 MO Primary

Addresses

Primary practice location

500 NW 68TH St
Kansas City, MO 64118-2455

Mailing address

PO Box 871248
Kansas City, MO 64187-1248
Phone (913) 322-6675

Other practice location 1

5701 W 119th St Ste 319
Overland Park, KS 66209-3721
Phone (913) 491-1400

Other identifiers 3

IdentifierTypeStateIssuer
245336706MedicaidMO
100403850AMedicaidKS
29257015OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20040809001028 MO Practitioner - Emergency MedicinePractitioner - Preventive Medicine 9133191356 Reassigns benefits to 1 organization
I20130206000645 KS Practitioner - Emergency MedicinePractitioner - Preventive Medicine 9133191356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Preventive Medicine
Education
Kansas City College of Medicine and Surgery, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig Goldstein DO PAGroup PAC ID 1759535321, 3 clinicians

Practice addresses (Care Compare)

2100 SE Blue Pkwy
Lees Summit Hospital
Lees Summit, MO 64063-1007
Phone (913) 322-8859

500 NW 68TH St
Kansas City, MO 64118-2455
Phone (913) 322-8859

5100 Indian Creek Pkwy
Overland Park, KS 66207-4115
Phone (913) 544-1957

5701 W 110TH St
Mid America Rehabilitation Hospital
Leawood, KS 66211-2503
Phone (913) 491-2410

6505 W 103Rd St
Overland Park, KS 66212-1728
Phone (913) 649-5110

6509 W 103Rd St
Specialty of Mid America
Overland Park, KS 66212-1728
Phone (913) 649-3701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0161122MOMDEmergency Medicine Physician
DO161122MOMDEmergency Medical Services (Emergency Medicine) Physician
0528836KSMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Goldstein DO PA Undersea and Hyperbaric Medicine CurrentSince Nov 1, 2012 Accepting new patients
Hyperbaric Oxygen of Kansas City Inc. Undersea and Hyperbaric Medicine Past Accepting new patients
Medical Emergency Associates L.L.C. Emergency Medicine Past Accepting new patients
Carondelet Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

8701 Troost Ave
Kansas City, MO 64131
Phone (816) 363-8100

Organizations & group practices 4

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 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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1437158391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871248",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641871248",
            "telephone_number": "913-322-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 68TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641182455",
            "telephone_number": "913-322-6675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 W 119th St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093721",
            "country_code": "US",
            "telephone_number": "913-491-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "D0161122",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MO",
            "license": "DO161122",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "0528836",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "2000161122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245336706",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100403850A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29257015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.