Jamie Eden Gottlieb, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

K9790 Issued in TX

Practice address

6121 Hwy 161
Suite 225
Irving, TX 75038

Phone

(469) 528-1169

Fax

(877) 319-1790

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Orthopedic Surgery

Education

JS Weill Medical College, Cornell University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13070/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CGCDCD/Endpoint/CGCDCD
• Direct secure messaging: jamie.gottlieb.1@13131.direct.athenahealth.com

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.

• GBS Diagnostic Services PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Irving, TX
  • NPI 1780275867
  Medicare reassignment NPD
• Northern Indiana Rehab Hospital, LLC

  dba Doctor's Neuromedical Hospital & Research Institute

  • General Acute Care Hospital
  • Bremen, IN
  • NPI 1811908957
  NPD (past)
• South Bend Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1669421277

  Orthopaedic Surgery of the Spine

  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1811979842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD STE 134",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828302",
            "telephone_number": "469-528-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 HWY 161",
            "address_2": "SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "469-528-1169",
            "fax_number": "877-319-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5218 Beck Dr Ste 9&10",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "46516",
            "country_code": "US",
            "telephone_number": "574-214-7504",
            "fax_number": "574-262-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465637828",
            "country_code": "US",
            "telephone_number": "574-214-7504",
            "fax_number": "574-262-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762012331",
            "country_code": "US",
            "telephone_number": "940-382-1577",
            "fax_number": "940-387-5471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 E Day Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453463",
            "country_code": "US",
            "telephone_number": "574-214-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5218 Beck Dr Ste 9&10",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "46516",
            "country_code": "US",
            "telephone_number": "574-214-7504",
            "fax_number": "574-262-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5218 Beck Dr Ste 9&10",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "46516",
            "country_code": "US",
            "telephone_number": "574-214-7504",
            "fax_number": "574-262-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "JAMIE",
        "middle_name": "EDEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01059066A",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "K9790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000567134",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goshen Home Health Services Inc
• Natalie Gosline, FCP
• Smriti Kana Goswami, WHCNP
• Goto Lab Express Texas LLC
• Ryan Gottleaber
• Jofonz Govan
• Naga Manasa Govindarajula
• Dinesh Nanjunde Gowda, M.D.
• GP Podiatry Associates
• Grace Dental

• Orthopaedic Surgery of the Spine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.

Verify at the official NPI Registry.