Active NPI
Neal Stewart Goldstein, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G63732
- Practice address
- 6455 Mission Court
West Bloomfield, MI 48324-1399 - Phone
- (313) 486-9008
- Fax
- (313) 486-9044
- NPI assigned
- Mar 24, 2006
- Last updated
- Nov 13, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301064488 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G63732 | CA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23D2013964 | MI |
Addresses
Primary practice location
6455 Mission Court
West Bloomfield, MI 48324-1399
Mailing address
31 Columbia
Aliso Viejo, CA 92656-1460
Phone (248) 499-0156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076209 | Medicaid | MI | |
| 220F362370 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Wisconsin School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710
4600 Investment Dr
Suite 280
Troy, MI 48098-6367
Phone (248) 844-9710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63732 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 23D2013964 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 4301064488 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Gastroenterology PC | Current | Accepting new patients | |
| Troy Gastroenterology, PC | Current | Accepting new patients | |
| Troy Gastroenterology, PC | Current | Accepting new patients | |
| Neogenomics Laboratories Inc | Past | Accepting new patients | |
| Pinnacle Gi Lab LLC | Past | Accepting new patients |
Locations
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Organizations & group practices 6
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.
-
dba Center For Digestive Health
- Gastroenterology Physician
- Rochester Hills, MI
- NPI 1134180318
-
- Clinical Medical Laboratory
- Redford, MI
- NPI 1093971251
-
dba Michigan Gastroenterology Institute
- Gastroenterology Physician
- East Lansing, MI
- NPI 1699880591
-
- Anesthesiology Physician
- Troy, MI
- NPI 1740232701
-
- Clinical Medical Laboratory
- Troy, MI
- NPI 1922828607
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1003245317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1578523643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 COLUMBIA",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561460",
"telephone_number": "248-499-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 MISSION COURT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483241399",
"telephone_number": "313-486-9008",
"fax_number": "313-486-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "NEAL",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301064488",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G63732",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "23D2013964",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076209",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "220F362370",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.