Active NPI
Robert M Golub, M.D.
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1801826284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD043758L
- Practice address
- 3998 Red Lion Rd
Suite 235
Philadelphia, PA 19114-1436 - Phone
- (215) 632-3630
- Fax
- (215) 632-3544
- NPI assigned
- Jul 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD043758L | PA | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
Suite 235
Philadelphia, PA 19114-1436
Mailing address
P. O. Box 8500 - 6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01275740-07 | Other | PA | AMERICHOICE TORRESDALE DI |
| 1764412 | Other | PA | FIRST HEALTH |
| 3942609 | Other | PA | CIGNA |
| 03770 | Other | PA | HEALTH PARTNERS |
| 30004517 | Other | PA | KEYSTONE MERCY |
| 763798 | Other | PA | HIGHMARK BLUE SHIELD |
| 0012757400002 | Medicaid | PA | |
| 01275740-06 | Other | PA | AMERICHOICE FRANKFORD DIV |
| 2014602 | Other | PA | UNITED HEALTHCARE |
| 2969387 | Other | PA | AETNA HMO |
| 0012757400001 | Medicaid | PA | |
| 0012757400006 | Medicaid | PA | |
| 0012757400009 | Medicaid | PA | |
| 0639927000 | Other | PA | KEYSTONE IBC |
| 01275740-08 | Other | PA | AMERICHOICE BUCKS DIVISIO |
| 7638798 | Other | PA | PERSONAL CHOICE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services-Surgery | Surgery | 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.
-
- Surgery Physician
- Philadelphia, PA
- NPI 1134184468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1801826284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 8500 - 6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191786335",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 235",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-632-3630",
"fax_number": "215-632-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLUB",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD043758L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE TORRESDALE DI",
"identifier": "01275740-07",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1764412",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3942609",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "03770",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30004517",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "763798",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012757400002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE FRANKFORD DIV",
"identifier": "01275740-06",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2014602",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2969387",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012757400001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012757400006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012757400009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0639927000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE BUCKS DIVISIO",
"identifier": "01275740-08",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "7638798",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.