Individual provider Active NPI

Carl Steven Goldsand, MD

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1447245212
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME26504 Issued in FL
Practice address
16501 NW 2ND Ave
Miami, FL 33169-6005
Phone
(305) 354-4558
Fax
(305) 354-3884
NPI assigned
Sep 16, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME26504 FL
Nephrology Physician 207RN0300X ME26504 FL Primary

Addresses

Primary practice location

16501 NW 2ND Ave
Miami, FL 33169-6005

Mailing address

16501 NW 2ND Ave
Miami, FL 33169-6005
Phone (305) 354-4558

Other identifiers 1

IdentifierTypeStateIssuer
045922400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000020 FL Practitioner - Nephrology 0345317749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Tufts University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

16501 NW 2ND Ave
Miami, FL 33169-6005
Phone (305) 354-4558

Hospital & facility affiliations

  • Fresenius Kidney Care North Miami Beach Dialysis facility, North Miami Beach, FL, CCN 102766

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26504FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jul 1, 2020 Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jul 1, 2020 Accepting new patients
Miami-Ara, LLC PastSince Jan 25, 2021 Accepting new patients

Locations

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

5503 S Congress Ave
Ste 205
Lake Worth, FL 33462
Phone (561) 964-7511

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

16501 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: carl.goldsand.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1447245212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558",
            "fax_number": "305-354-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558",
            "fax_number": "305-354-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSAND",
        "first_name": "CARL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME26504",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME26504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045922400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.