Individual provider Active NPI

Nicholas Charles Golden, M.D.

  • Gastroenterology Physician
  • Vero Beach, FL
National Provider Identifier
1619978343
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME151295 Issued in FL
Practice address
1000 36TH St Ste B
Vero Beach, FL 32960-4862
Phone
(772) 567-4311
NPI assigned
Aug 3, 2005
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME151295 FL Primary

Addresses

Primary practice location

1000 36TH St Ste B
Vero Beach, FL 32960-4862

Mailing address

34940 Ridge Rd
Suite B
Willoughby, OH 44094-4196
Phone (440) 953-1899

Other identifiers 1

IdentifierTypeStateIssuer
01839358MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210728000836 FL Practitioner - Gastroenterology 7719069913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6801 Breacksville Rd
Independence, OH 44131-5058

6801 Brecksville Rd
Independence, OH 44131-5062

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy214
Upper gastrointestinal (GI) endoscopy for acid reflux193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151295FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jul 31, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Indian River Health Services Inc CurrentSince Jul 15, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Jul 15, 2021 Accepting new patients
Indian River Health Services Inc Past Accepting new patients
Facial Plastic, Reconstructive & Laser Surgery, PLLC Past Accepting new patients

Locations

801 Wellness Way
Ste 109
Sebastian, FL 32958
Phone (772) 226-4200

1000 36th St
Ste B
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4444

3450 11th Ct
Ste 102
Vero Beach, FL 32960
Phone (772) 299-5311

3450 11th Ct
Ste 206
Vero Beach, FL 32960
Phone (772) 299-3511

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Mayfield Rd
Ste 250
Mayfield Heights, OH 44124
Phone (440) 312-4565

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ngolden247891@direct.ccf.org

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.

Hospital & facility affiliations 2

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1619978343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34940 RIDGE RD",
            "address_2": "SUITE B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944196",
            "telephone_number": "440-953-1899",
            "fax_number": "440-953-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME151295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.