Active NPI
Martin Joseph Goldberg, M.D.
- Cardiovascular Disease Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101031255
- Practice address
- 301 Riverview Ave Ste 700
Norfolk, VA 23510-1065 - Phone
- (757) 252-9365
- Fax
- (757) 962-7217
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101031255 | VA | Primary |
Addresses
Primary practice location
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Mailing address
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Phone (757) 252-9365
Other practice location 1
100 Kingsley Ln
Suite 200
Norfolk, VA 23505-4604
Phone (757) 889-6768
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027792 | Other | VA | ANTHEM BC/BS |
| 15792 | Other | VA | SENTARA OHP/SHP |
| 15961 | Other | VA | OPTIMA |
| 263654 | Other | VA | UHC/MAMSI/MDIPA |
| 7905699 | Medicaid | NC | |
| 250373 | Other | VA | ANTHEM BC/BS |
| 006033717 | Medicaid | VA | |
| 006074855 | Medicaid | VA | |
| 05699 | Other | NC | BC/BS NC |
| 249504 | Other | VA | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- mgoldberg22502@direct.sentara.net
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1821024597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1538133244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9365",
"fax_number": "757-962-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9365",
"fax_number": "757-962-7217"
}
],
"practiceLocations": [
{
"address_1": "100 Kingsley Ln",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235054604",
"country_code": "US",
"telephone_number": "757-889-6768",
"fax_number": "757-962-1254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "MARTIN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101031255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "027792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OHP/SHP",
"identifier": "15792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15961",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI/MDIPA",
"identifier": "263654",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7905699",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "250373",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006033717",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006074855",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NC",
"identifier": "05699",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "249504",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.