Marlyn F Goldberg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-096240 Issued in IL

Practice address

152 N Addison Ave Ste 100
Elmhurst, IL 60126-2821

Phone

(630) 833-9621

Fax

(630) 833-9465

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

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

Ophthalmology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kovach Eye Institute LTDGroup PAC ID 9032165071, 7 clinicians

Miller Eye Center LTDGroup PAC ID 4880662741, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.5 of 100Reported as group

Quality

95.64

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgoldberg@millereye.intellechartdirect.net

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.

• Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1669498267
  Medicare reassignment Care Compare group NPD
• Miller Eye Center LTD

  • Clinic/Center
  • Rockford, IL
  • NPI 1750376638
  Medicare reassignment Care Compare group
• Miller Eye Center LTD

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1619063013
  NPD
• Suburban Retina LTD

  • Ophthalmology Physician
  • Lombard, IL
  • NPI 1710033352
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1629066519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 Eastrock Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611091737",
            "country_code": "US",
            "telephone_number": "815-226-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MARLYN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-096240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "036088212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05626127",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360962402",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "DA3012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048835",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicko Gluncic, MD, PHD
• Jose Luis Godinez Jr., PT, DPT
• Cinthia C Godoy-Hernandez
• Ladawna Goering, ANP ANP-BC
• Maurshay Goines
• Behrad Golshani
• Vildana Golubovic, PHARMD
• Vanessa Gomez
• Daniel Joseph Goodman, PH.D.
• Gordon J. Kinzler, M.D.,S.C.

• Ophthalmology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.