Active NPI
Jeffrey M Goldberg, M.D.
- Gynecologic Oncology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 37030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020583V | Other | KY | HUMANA PROVIDER NUMB |
| 1988251 | Other | KY | CIGNA PROVIDER NUMBER |
| 64045040 | Medicaid | KY | |
| 7872269 | Other | KY | AETNA PROVIDER NUMB |
| 200321900A | Medicaid | IN | |
| 980000377 | Other | KY | RAILRAOD MEDICARE |
| 000000216256 | Other | KY | ANTHEM PROVIDER NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101230000792 | KY | Practitioner - Obstetrics/Gynecology | 7113115486 | Reassigns benefits to 1 organization |
| I20201020002443 | IN | Practitioner - Obstetrics/Gynecology | 7113115486 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- 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, IncFranciscan Physician Network
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
- Franciscan Health Lafayette
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37030 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | 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
- jgoldberg20245@direct.nortonhealthcare.org
- 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.
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1326783358
-
- Community/Retail Pharmacy
- Louisville, KY
- NPI 1417338971
-
- Land Ambulance
- Louisville, KY
- NPI 1477183481
-
- Specialty Pharmacy
- Louisville, KY
- NPI 1629234703
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
-
- Podiatrist
- Munster, IN
- NPI 1093188229
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
Hospital
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.