Individual provider Active NPI

David H Goetz, M.D.

  • Gastroenterology Physician
  • Burnt Hills, NY
National Provider Identifier
1669566089
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
226573-1 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12027
Phone
(518) 831-1500
Fax
(518) 399-7585
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 226573-1 NY Primary

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12027

Mailing address

848 Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

Other identifiers 1

IdentifierTypeStateIssuer
226573-1OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070922000007 NY Practitioner - Gastroenterology 1850485707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Schenectady Gastroenterology Associates, PCGroup PAC ID 6608855168, 31 clinicians

Practice addresses (Care Compare)

848 State Route 50
Burnt Hills, NY 12027-9511
Phone 51883115001100

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy101
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226573-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Schenectady Gastroenterology Associates, PC Gastroenterology CurrentSince Jul 1, 2007 Accepting new patients

Locations

848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500

846 State Route 50
Burnt Hills, NY 12027

1770 Route 9
Halfmoon, NY 12065
Phone (518) 688-1380

1 West Ave
Ste 130
Saratoga Springs, NY 12866
Phone (518) 831-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECGDD

Organizations & group practices 1

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1669566089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-399-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "226573-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "226573-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.