Individual provider Active NPI

Andrew H Goldstein, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lincoln, NE
National Provider Identifier
1518951284
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
29641 Issued in AZ
Practice address
7440 S 91St St
Lincoln, NE 68526
Phone
(402) 328-3756
Fax
(402) 328-3970
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 3004 WI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 29641 AZ Primary

Addresses

Primary practice location

7440 S 91St St
Lincoln, NE 68526

Mailing address

7440 S 91St St
Lincoln, NE 68526
Phone (480) 767-5544

Other practice location 1

200 Theda Clark Medical Plz
Neenah, WI 54956-2721
Phone (920) 731-8900

Other practice location 2

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900

Other practice location 3

2460 S Parkview Loop Ste 203
Yuma, AZ 85364-5358
Phone (928) 336-2619

Other identifiers 1

IdentifierTypeStateIssuer
636491MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040909001032 AZ Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 4385629062 Reassigns benefits to 2 organizations
I20230106000913 NE Practitioner - Thoracic Surgery 4385629062 Reassigns benefits to 1 organization
I20230622000527 WI Practitioner - Thoracic Surgery 4385629062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

7500 S 91St St
CHI Health Nebraska Heart
Lincoln, NE 68526-9437
Phone (402) 327-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince May 9, 2019 Accepting new patients
CHI Health Clinic Specialty, LLC Surgery CurrentSince Nov 11, 2022 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jun 8, 2023 Accepting new patients
Yuma Regional Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jun 8, 2023 Accepting new patients
Thedacare, Incorporated CurrentSince Aug 19, 2023 Accepting new patients
Mayo Clinic Arizona CurrentSince May 9, 2019 Accepting new patients
Medical Diagnostic Imaging Group LTD Past Accepting new patients
Nebraska Heart Hospital Past Accepting new patients

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

2460 S Parkview Loop
Ste 203
Yuma, AZ 85364
Phone (928) 336-2619

2460 S Parkview Loop
Ste 201
Yuma, AZ 85364
Phone (928) 336-1790

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7500 S 91st St
Lincoln, NE 68526
Phone (402) 327-2700

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Ste N347
Appleton, WI 54911
Phone (920) 225-1449

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

200 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 358-1223

200 Theda Clark Medical Plz
Ste 320
Neenah, WI 54956
Phone (920) 722-3341

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Organizations & group practices 10

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 5

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1518951284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68526",
            "telephone_number": "480-767-5544",
            "fax_number": "480-245-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68526",
            "telephone_number": "402-328-3756",
            "fax_number": "402-328-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Theda Clark Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562721",
            "country_code": "US",
            "telephone_number": "920-731-8900",
            "fax_number": "920-830-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-731-8900",
            "fax_number": "920-830-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 S Parkview Loop Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853645358",
            "country_code": "US",
            "telephone_number": "928-336-2619",
            "fax_number": "928-336-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ANDREW",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-05-28",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "3004",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "29641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.