Gregory T Goldstein, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036104855 Issued in IL

Practice address

1638 W Surf St
Chicago, IL 60657-3599

Phone

(312) 890-3999

Fax

(847) 919-3849

NPI assigned

Feb 17, 2006

Last updated

Jul 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL, PA, MI3 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 3

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Suburban Orthopaedics LTDGroup PAC ID 7113950700, 18 clinicians

Corazon Medical PCGroup PAC ID 1456725910, 4 clinicians

Spectrum Imaging SCGroup PAC ID 3678892247, 41 clinicians

Satish a Shah MD PCGroup PAC ID 0648258947, 16 clinicians

Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Joshua Penn MD a Medical CorporationGroup PAC ID 9436236585, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.52 of 100Reported as group

Quality

91.15

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

66.79 of 100Reported as group

Quality

24.52

Promoting interoperability

96

Improvement activities

40

Cost

65.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 36)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Imaging SC

  • Radiology Clinic/Center
  • Chicago, IL
  • NPI 1821482621
  Medicare reassignment Care Compare group NPD Authorized official
• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  Medicare reassignment Care Compare group NPD
• Suburban Orthopaedics LTD

  • Orthopaedic Surgery Physician
  • Bartlett, IL
  • NPI 1275749475
  Medicare reassignment Care Compare group NPD
• Chesapeake Urology Associates LLC

  dba Pennsylvania Cancer Specialists & Research Institute

  • Hematology & Oncology Physician
  • Gettysburg, PA
  • NPI 1982734976
  Medicare reassignment Care Compare group NPD
• Corazon Medical PC

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1902511157
  Medicare reassignment Care Compare group NPD
• Joshua Penn MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1942478763

  IL

  Medicare reassignment Care Compare group NPD
• Michigan Radiology Institute PLLC

  dba M1 Imaging

  • Diagnostic Radiology Physician
  • Berkley, MI
  • NPI 1891230900
  Medicare reassignment NPD
• Scancare Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Chicago, IL
  • NPI 1154744654
  NPD (past) Authorized official
• Accelerated Open MRI & Imaging LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Frankfort, IL
  • NPI 1871868265
  NPD
• Advanced Physicians, S.C.

  • Diagnostic Radiology Physician
  • Crest Hill, IL
  • NPI 1467409490
  NPD
• Akumin Health Illinois, LLC

  • Radiology Clinic/Center
  • Crystal Lake, IL
  • NPI 1518505585
  NPD
• Fox Valley Imaging Center, Inc.

  • Radiology Clinic/Center
  • Naperville, IL
  • NPI 1518014778
  NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1821063496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 W SURF ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573599",
            "telephone_number": "312-890-3999",
            "fax_number": "847-919-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 W SURF ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573599",
            "telephone_number": "312-890-3999",
            "fax_number": "847-919-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036104855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104855",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "CN0576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRI OF CHICAGO, LLC",
            "identifier": "PTAN IL 1739",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1615479",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "3001384006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Goldstein, LPC
• Deborah Goldstein, A.P.N.
• Debra A Goldstein, MD
• Debra Chana Goldstein, RN, CPNP, CLS
• Diana Susan Goldstein, PH.D.
• Jeffery Adam Goldstein, PHD, MD
• Joan Phyllis Goldstein, DDS
• Jordana Goldstein, PSY.D.
• Joshua Lewis Goldstein, MD
• Julie Goldstein, M.D.

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.