Active NPI
Michael H Goldman, M.D.
- Cardiovascular Disease Physician
- Fairfax, VA
National Provider Identifier
1629060504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101043150
- Practice address
- 8316 Arlington Blvd
Ste 620
Fairfax, VA 22031-5204 - Phone
- (703) 698-5556
- Fax
- (703) 807-0082
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 0101043150 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd
Ste 620
Fairfax, VA 22031-5204
Mailing address
8316 Arlington Blvd
Ste 620
Fairfax, VA 22031-5204
Phone (703) 698-5556
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-1825253 | Other | VA | PHCS (PPO) |
| 54-1825253 | Other | VA | TRICARE |
| 1144 | Other | VA | CAREFIRST BCBS (VA/DC) |
| 54-1825253 | Other | VA | GREAT WEST (PPO) |
| 832968 | Other | VA | FIRST HEALTH (PPO) |
| 010245001 | Medicaid | VA | |
| 428799 | Other | VA | NCPPO (PPO) |
| 428799 | Other | VI | UNITED HEALTHCARE/MAMSI |
| 6389467 | Other | VA | CIGNA PPO |
| 473766 | Other | VA | AETNA US HEALTHCARE PPO |
| 54-1825253 | Other | VA | CCN/FIRST HEALTH (PPO) |
| 54-1825253 | Other | VA | UNITED HEALTHCARE HMO PPO |
| 4012492 | Other | VA | AETNA (HMO/POS) |
| 523626-01 | Other | MD | CAREFIRST BCBS (MD) |
| 203593 | Other | VA | ANTHEM BCBS PPO/HLTH HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Nuclear Cardiology PLC | Past | Accepting new patients | |
| Antonio J. Cachay, M,D., P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Fairfax, VA
- NPI 1417107459
-
- Pulmonary Function Technologist
- Annandale, VA
- NPI 1467672212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488672000000",
"number": "1629060504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "STE 620",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315204",
"telephone_number": "703-698-5556",
"fax_number": "703-807-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "STE 620",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315204",
"telephone_number": "703-698-5556",
"fax_number": "703-807-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2017-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101043150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS (PPO)",
"identifier": "54-1825253",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "54-1825253",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS (VA/DC)",
"identifier": "1144",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST (PPO)",
"identifier": "54-1825253",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH (PPO)",
"identifier": "832968",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010245001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO (PPO)",
"identifier": "428799",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/MAMSI",
"identifier": "428799",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "6389467",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE PPO",
"identifier": "473766",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN/FIRST HEALTH (PPO)",
"identifier": "54-1825253",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE HMO PPO",
"identifier": "54-1825253",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA (HMO/POS)",
"identifier": "4012492",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS (MD)",
"identifier": "523626-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PPO/HLTH HMO",
"identifier": "203593",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.