Alan Arthur Goldblatt, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME46925 Issued in FL

Practice address

24419 Millstream Dr
Aldie, VA 20105-5837

Phone

(703) 712-4874

NPI assigned

Jul 11, 2006

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan a Goldblatt MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1891725628
  Authorized official Same address or phone
• Capital Palliative Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Largo, MD
  • NPI 1891011151
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1689608705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 NW 40TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053500",
            "telephone_number": "352-375-0332",
            "fax_number": "352-375-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24419 MILLSTREAM DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055837",
            "telephone_number": "703-712-4874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 NW 40th Ter",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326053500",
            "country_code": "US",
            "telephone_number": "352-375-1999",
            "fax_number": "352-375-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "ALAN",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME46925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaddipati PLLC
• Swapna Gaddipati, M.D
• Ruth Gahsu, LPC-R
• Javiela Francisca Galvez, LMT
• Tae Jung Gam
• Lerah Gordon, LMSW
• Shelley Green, CMT
• Belinda A Griffin, LPN
• Harika Guduru
• Almira A. Haque, PA-C

• Geriatric Medicine (Internal Medicine) Physician in Aldie, VA
• Providers in Aldie, VA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.