Individual provider Active NPI

Harold R Goldberg, MD, FACC

  • Cardiovascular Disease Physician
  • Spokane, WA
National Provider Identifier
1497779334
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00025218 Issued in WA
Practice address
122 W 7TH Ave
450
Spokane, WA 99204-2349
Phone
(509) 455-8820
Fax
(509) 838-4978
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD00025218 WA
Cardiovascular Disease Physician 207RC0000X MD00025218 WA Primary

Addresses

Primary practice location

122 W 7TH Ave
450
Spokane, WA 99204-2349

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001
Phone (866) 747-2455

Other practice location 1

62 W 7th Ave Ste 450
Spokane, WA 99204-2321
Phone (509) 455-8820

Other identifiers 3

IdentifierTypeStateIssuer
1016690MedicaidWA
003152700MedicaidID
060023161OtherWARRB

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgoldberg220229@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060213000516 WA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486669496 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Memorial Hospital Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jul 27, 2022 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 3, 2024 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Tri-State Memorial Hospital CurrentSince Jan 3, 2024 Accepting new patients
Spokane Washington Hospital Company LLC Past Accepting new patients
Empire Health Services Past Accepting new patients
Wa Spok DH Crna LLC Cardiovascular Disease Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

Organizations & group practices 11

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services Washington 53 clinicians

Practice addresses (Care Compare)

212 E Central Ave
Suite 240
Spokane, WA 99208-6597
Phone (509) 455-8820

62 W 7TH Ave
Spokane, WA 99204-2321

825 SE Bishop Blvd
Suite 140
Pullman, WA 99163-5517
Phone (509) 455-8820

Hospital & facility affiliations

  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1497779334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "450",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-455-8820",
            "fax_number": "509-838-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 W 7th Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042321",
            "country_code": "US",
            "telephone_number": "509-455-8820",
            "fax_number": "509-838-4978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HAROLD",
        "middle_name": "R",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "MD00025218",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00025218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016690",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003152700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "060023161",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgoldberg220229@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "62 W 7th Ave Ste 450",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.