Active NPI
Pinkus Goldberg, M.D.
- Allergy & Immunology Physician
- Indianapolis, IN
National Provider Identifier
1740262641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 01033874A
- Practice address
- 9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349 - Phone
- (317) 848-9441
- Fax
- (317) 924-8239
- NPI assigned
- Nov 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01033874A | IN | Primary |
Addresses
Primary practice location
9002 N Meridian St Ste 107
Indianapolis, IN 46260-5349
Mailing address
Dept. 453 PO Box 1000
Memphis, TN 38148-0001
Phone (828) 350-2163
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100145290 | Medicaid | IN | |
| IN1127026 | Other | IN | MEDICARE PTAN |
| IN1125027 | Other | IN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033874A | IN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1740262641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. 453 PO BOX 1000",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "828-350-2163",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST STE 107",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605349",
"telephone_number": "317-848-9441",
"fax_number": "317-924-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "PINKUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "01033874A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100145290",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1127026",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1125027",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Henry Russell Gold, MD
- Whitney Lynn Gold, FNP
- Aaron Joseph Goldberg, M.D.
- Mark J. Goldberg, M.D.
- Michael Anatolevich Goldberg
- Lawrence I Goldblatt, DDS MSD
- Golden Age Companions Home Care LLC
- Golden Care Home Health Services LLC
- Golden Compassion Home Care LLC
- Golden Compassion Home Health Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.