Mark G Goldstein, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

D0067691 Issued in MD

Practice address

19735 Germantown Rd Ste 255
Germantown, MD 20874-1219

Phone

(301) 571-0019

Fax

(301) 530-2515

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Hematology/Oncology

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgoldstein793588@direct.hopkinsmedicine.org

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.

• Frederick Health Hospital Inc

  • Radiation Oncology Clinic/Center
  • Frederick, MD
  • NPI 1891154100
  Medicare reassignment NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225

  Internal Medicine

  Medicare reassignment NPD
• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • Radiology Clinic/Center
  • Frederick, MD
  • NPI 1699559823
  NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Mount Airy, MD
  • NPI 1114771862

  Hematology & Oncology

  NPD
• Center for Cancer and Blood Disorders

  • Non-Pharmacy Dispensing Site
  • Bethesda, MD
  • NPI 1073660122
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Maryland Oncology Hematology P.a.

  • Hematology & Oncology Physician
  • Columbia, MD
  • NPI 1396710703
  NPD (past)
• Hartford Physician Services PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117
  NPD (past)

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

• Suburban Hospital, Inc.

  • General Acute Care Hospital
  • Bethesda, MD
  • NPI 1205896446
  Care Compare affiliation
• Suburban Hospital, Inc.

  • Radiation Oncology Clinic/Center
  • Bethesda, MD
  • NPI 1528096690

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1649216342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD STE 255",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741219",
            "telephone_number": "301-571-0019",
            "fax_number": "301-530-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1562 Opossumtown Pike",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024337",
            "country_code": "US",
            "telephone_number": "301-662-8477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W Seventh St # 1A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014586",
            "country_code": "US",
            "telephone_number": "301-662-8477",
            "fax_number": "301-662-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043952",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD438212",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D67691",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0067691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418915900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afsaneh Golban, AGACNP-BC
• Tobi Brenneman Goldfus, LCSW-C, BCD
• Nancy Goldspiel, RPH
• Elisa Goldstein, MS CCC/SLP
• Mark Adam Goldstein, M.D.
• Parastoo Golestani, DDS
• Maria Gomez Nelson, CNA
• Kimberley Gonzales
• Kyla Goodman
• Marissa Goon

• Hematology & Oncology Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.