Individual provider Active NPI

Jeffrey M Goldberg, M.D.

  • Gynecologic Oncology Physician
  • Louisville, KY
National Provider Identifier
1720045834
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
37030 Issued in KY
Practice address
3991 Dutchmans LN Ste 405
Louisville, KY 40207-4723
Phone
(502) 899-3366
Fax
(502) 899-6686
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37030 KY
Surgical Oncology Physician 2086X0206X 37030 KY
Gynecologic Oncology Physician 207VX0201X 37030 KY Primary

Addresses

Primary practice location

3991 Dutchmans LN Ste 405
Louisville, KY 40207-4723

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 587-4672

Other identifiers 7

IdentifierTypeStateIssuer
000020583VOtherKYHUMANA PROVIDER NUMB
1988251OtherKYCIGNA PROVIDER NUMBER
64045040MedicaidKY
7872269OtherKYAETNA PROVIDER NUMB
200321900AMedicaidIN
980000377OtherKYRAILRAOD MEDICARE
000000216256OtherKYANTHEM PROVIDER NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101230000792 KY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7113115486 Reassigns benefits to 1 organization
I20201020002443 IN Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7113115486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norton Hospitals, Inc 137 clinicians
Franciscan Physician Network 1,152 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Suite 110 Norton Cancer Institute
Corydon, IN 47112-2173
Phone (812) 734-0912

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904

1704 Lafayette Rd
Crawfordsville, IN 47933-1071

3991 Dutchmans LN
Suite 405
Louisville, KY 40207-4723
Phone (502) 899-3366

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37030KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Sep 15, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Sep 15, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Greenwood, IN 46143
Phone (317) 528-2759

8111 S Emerson Ave
Ste 200
Indianapolis, IN 46237

8111 S Emerson Ave
Ste 204
Indianapolis, IN 46237
Phone (317) 528-2555

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: jgoldberg20245@direct.nortonhealthcare.org
  • Direct secure messaging: jgoldberg527482@direct.franciscanalliance.org

Organizations & group practices 10

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1720045834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-587-4672",
            "fax_number": "502-587-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 DUTCHMANS LN STE 405",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074723",
            "telephone_number": "502-899-3366",
            "fax_number": "502-899-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "37030",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "KY",
            "license": "37030",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "KY",
            "license": "37030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMB",
            "identifier": "000020583V",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1988251",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64045040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMB",
            "identifier": "7872269",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200321900A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "980000377",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMB",
            "identifier": "000000216256",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.