Kenneth Gordon Goldaber, MD

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

H3815 Issued in TX

Practice address

515 W Mayfield Rd
Suite 304
Arlington, TX 76014-2083

Phone

(817) 467-1010

Fax

(817) 419-2626

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Obstetrics/Gynecology

Education

University of Miami, LM Miller School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arlington Perinatal Associates, PA

  • Maternal & Fetal Medicine Physician
  • Arlington, TX
  • NPI 1720274020

  Maternal & Fetal Medicine, TX

  Medicare reassignment NPD Authorized official
• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Maternal & Fetal Medicine, TX

  Medicare reassignment NPD
• Stella Mattina Health Inc

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1487301230

  TX

  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Stella Mattina Primary Care Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1396568713
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1477549749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "SUITE 304",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "817-467-1010",
            "fax_number": "817-419-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "SUITE 304",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "817-467-1010",
            "fax_number": "817-419-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDABER",
        "first_name": "KENNETH",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "H3815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161496801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27KH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajesh Gogia, M.D.
• Gold Behavioral Health Services PLLC
• Gold Medical Services PLLC
• Gold Pediatrics PA
• Stephanie Paige Gold, MD
• Golden Age Home Health Corp
• Golden Life Wellness Center DFW LLC
• Golden Path in Home Care, Inc
• Elizabeth Goldrick
• Goldstar Home Health System, Inc

• Maternal & Fetal Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Maternal & Fetal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.

Verify at the official NPI Registry.