NPIMap

Individual provider Active NPI

Gerald Marvin Goltz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Sewickley, PA
National Provider Identifier
1720033244
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD-015354-E Issued in PA
Practice address
701 Broad St Ste 421
Sewickley, PA 15143-1670
Phone
(412) 741-2552
Fax
(412) 741-9339
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-015354-E PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD-015354-E PA Primary

Addresses

Primary practice location

701 Broad St Ste 421
Sewickley, PA 15143-1670

Mailing address

701 Broad St
Sewickley, PA 15143-1652
Phone (412) 741-2552

Other identifiers 4

IdentifierTypeStateIssuer
091252OtherPAKEYSTONE HEALTH PLAN WEST
73313OtherPAMEDPLUS
00753272MedicaidPA
23532OtherPAHEALTHAMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000288 PA Practitioner - EndocrinologyPractitioner - Nephrology 6406758333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Nephrology
Education
University of Pittsburgh School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gerald M. Goltz, M.D. and Associates, PCGroup PAC ID 3779763610, 2 clinicians

Practice addresses (Care Compare)

701 Broad St
Suite 421
Sewickley, PA 15143-1670
Phone (412) 741-2552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-015354-EPAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald M. Goltz, M.D. & Associates, PC Endocrinology, Diabetes & Metabolism CurrentSince Aug 15, 2010 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

701 Broad St
Ste 421
Sewickley, PA 15143
Phone (412) 741-2552

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1720033244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-741-2552",
            "fax_number": "412-741-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST STE 421",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431670",
            "telephone_number": "412-741-2552",
            "fax_number": "412-741-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTZ",
        "first_name": "GERALD",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD-015354-E",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD-015354-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN WEST",
            "identifier": "091252",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "73313",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00753272",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "23532",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.