Individual provider Active NPI

Tobi Goldstein, DPM

  • Podiatrist
  • Gambrills, MD
National Provider Identifier
1689904468
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01213 Issued in MD
Practice address
2391 Brandermill Blvd Ste 100
Gambrills, MD 21054-1985
Phone
(410) 267-6800
NPI assigned
Dec 30, 2009
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01213 MD Primary

Addresses

Primary practice location

2391 Brandermill Blvd Ste 100
Gambrills, MD 21054-1985

Mailing address

1 N Main St
Bel Air, MD 21014-3592
Phone (410) 879-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000083 MD Practitioner - Podiatry 0840322525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01213MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
White Square Vascular Surgery PA CurrentSince Jul 1, 2023 Accepting new patients
White Square Vascular Surgery PA CurrentSince Jul 1, 2023 Accepting new patients
Podiatry Associates, P.a. Podiatrist CurrentSince May 1, 2020 Accepting new patients
Podiatry Associates, P.a. Podiatrist CurrentSince Jan 29, 2023 Accepting new patients

Locations

1 N Main St
Bel Air, MD 21014
Phone (410) 803-0788

1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510

2391 Brandermill Blvd
Ste 100
Gambrills, MD 21054
Phone (410) 267-6800

795 Aquahart Rd
Ste 125
Glen Burnie, MD 21061
Phone (410) 768-0702

5233 King Ave
Ste 208
Rosedale, MD 21237
Phone (410) 294-6323

10845 Philadelphia Rd
White Marsh, MD 21162
Phone (410) 335-0008

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1689904468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143592",
            "telephone_number": "410-879-1212",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BRANDERMILL BLVD STE 100",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541985",
            "telephone_number": "410-267-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "TOBI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.