Lee Randall Goldberg, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

31261 Issued in AZ

Practice address

3955 E Fort Lowell Rd
Suite 113
Tucson, AZ 85712-1041

Phone

(520) 323-7277

Fax

(520) 881-1968

NPI assigned

Jul 18, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Medical College of Georgia School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Old Pueblo Cardiology PCGroup PAC ID 2668553843, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Merit-based Incentive Payment System (MIPS)

Final score

93.81 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.36

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Old Pueblo Cardiology PC

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1568643229
  Medicare reassignment Care Compare group NPD Authorized official
• Goldberg Medical Services Inc

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1275548000
  Authorized official Same address or phone
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD

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

• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1609895218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64086",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284086",
            "telephone_number": "520-323-7277",
            "fax_number": "320-881-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E FORT LOWELL RD",
            "address_2": "SUITE 113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121041",
            "telephone_number": "520-323-7277",
            "fax_number": "520-881-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LEE",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "31261",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "31261",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AZ",
            "license": "31261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79077601",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z119329",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Jene Gold, DDS
• Goldberg Medical Services Inc
• Cynthia C Goldberg, MD
• Daniel Goldberg, M.D.
• Gerald Norman Goldberg, M.D.
• Lisa Caryn Goldberg, M.D.
• Lisa Sisk Goldberg, ED.S.
• Mark Charles Goldberg, M.D.
• Morgan Roth Goldberg, M.D.
• Shelby Goldberg

• Interventional Cardiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.