Active NPI
Craig A Goldstein, DO
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 2000161122
- Practice address
- 500 NW 68TH St
Kansas City, MO 64118-2455 - Phone
- (913) 322-6675
- NPI assigned
- Jul 21, 2005
- Last updated
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245336706 | Medicaid | MO | |
| 100403850A | Medicaid | KS | |
| 29257015 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Kansas City College of Medicine and Surgery, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 115 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0161122 | MO | MD | Emergency Medicine Physician |
| DO161122 | MO | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 0528836 | KS | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Goldstein DO PA | Undersea and Hyperbaric Medicine | Current | 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.
-
dba Craig Goldstein DO
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1871844993
KS
-
- Emergency Medicine Physician
- Kansas City, MO
- NPI 1558363838
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1053401539
-
- Emergency Medicine Physician
- Blue Springs, MO
- NPI 1346241593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
-
dba Kindred Hospital Northland
- Long Term Care Hospital
- Kansas City, MO
- NPI 1265612188
Long-term care hospital
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.