Individual provider Active NPI

Lary S Goldman, MD

  • Cardiovascular Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1649251810
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301045138 Issued in MI
Practice address
30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone
(248) 419-3400
Fax
(248) 419-3410
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301045138 MI Primary

Addresses

Primary practice location

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262

Mailing address

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

Other identifiers 1

IdentifierTypeStateIssuer
1816063MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060428000557 MI Practitioner - Cardiovascular Disease (Cardiology) 5294703153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldman and Miller Cardiology, P.C.Group PAC ID 5890763759, 3 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldman and Miller Cardiology, P.C. Cardiovascular Disease CurrentSince Apr 1, 1985 Accepting new patients

Locations

30335 W 13 Mile Rd
Farmington Hills, MI 48334
Phone (248) 626-6500

30335 W 13 Mile Rd
Ste 103
Farmington Hills, MI 48334
Phone (248) 419-3400

Interoperability endpoints

  • Direct secure messaging: lgoldman59554@direct.hfhs.org

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.

Hospital & facility affiliations 3

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1649251810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301045138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1816063",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.