Individual provider Active NPI

Marc Evan Goldberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Olney, MD
National Provider Identifier
1447256714
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01400 Issued in MD
Practice address
3408 Olandwood CT
Suite 204
Olney, MD 20832-1367
Phone
(301) 924-5044
Fax
(301) 924-5933
NPI assigned
Jun 22, 2005
Last updated
Aug 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01400 MD Primary

Addresses

Primary practice location

3408 Olandwood CT
Suite 204
Olney, MD 20832-1367

Mailing address

3408 Olandwood CT
Suite 204
Olney, MD 20832-1367
Phone (301) 924-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000047 DC Practitioner - Podiatry 8729067251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Ankle Associates of Maryland, P.a.Group PAC ID 8729067269, 4 clinicians

Practice addresses (Care Compare)

3408 Olandwood CT
Suite 204
Olney, MD 20832-1367
Phone (301) 924-5044

Merit-based Incentive Payment System (MIPS)

Final score
63.56 of 100Reported as group
Quality
57.74
Promoting interoperability
56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions160
Removal of nail tissue2332
Removal or shaving of skin growth960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Associates of Maryland, P.a. Foot & Ankle Surgery CurrentSince Jul 1, 2004 Accepting new patients
Family Foot & Ankle Associates of Maryland, PA Foot & Ankle Surgery Past Accepting new patients
Lockwood Ambulatory Surgery Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5801 Allentown Rd
Ste 305
Camp Springs, MD 20746
Phone (301) 868-7670

3720 Farragut Ave
Ste 303
Kensington, MD 20895

3930 Knowles Ave
Ste 202
Kensington, MD 20895
Phone (301) 942-8110

3408 Olandwood Ct
Ste 204
Olney, MD 20832
Phone (301) 439-0300

10801 Lockwood Dr
Ste 260
Silver Spring, MD 20901
Phone (301) 439-0300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1447256714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OLANDWOOD CT",
            "address_2": "SUITE 204",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321367",
            "telephone_number": "301-924-5044",
            "fax_number": "301-924-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OLANDWOOD CT",
            "address_2": "SUITE 204",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321367",
            "telephone_number": "301-924-5044",
            "fax_number": "301-924-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MARC",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.