Melvyn Ralph Goldberg, MD

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

License

R6864 Issued in MO

Practice address

1225 Graham Rd
Florissant, MO 63031-8014

Phone

(314) 525-1900

Fax

(314) 525-4868

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Pediatric MedicineAlso: Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Track Medical LLCGroup PAC ID 2062693336, 9 clinicians

Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

42.87 of 100Reported as group

Quality

31.86

Promoting interoperability

0

Improvement activities

40

Cost

61.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fast Track Medical LLC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1568770626
  Medicare reassignment Care Compare group NPD
• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1962684886
  Medicare reassignment Care Compare group NPD
• Medical Care LLC

  • Health Service Clinic/Center
  • Florissant, MO
  • NPI 1609481696
  Medicare reassignment
• Fast Track Medical LLC

  • Urgent Care Clinic/Center
  • Florissant, MO
  • NPI 1588062491
  NPD
• Fast Track Urgent Care LLC

  • Urgent Care Clinic/Center
  • Florissant, MO
  • NPI 1912150467
  NPD
• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1952729402
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1821112574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DRIVE",
            "address_2": "LOCKBOX 6804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756804",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318014",
            "telephone_number": "314-525-1900",
            "fax_number": "314-525-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MELVYN",
        "middle_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "R6864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Scanlon Glowczewski, D.D.S.
• Sarah Ruth Goble, DPT
• Katelyn Gocal, FNP
• Bernard Godfrey Jr., LPC, CRADC
• Zeshan Gohar, MD
• Golden Angels Home Healthcare, LLC
• Golden Heart Home Care LLC
• Golden in Home Healthcare Inc.
• Golden Years in Home Health Care LLC
• Danielle Marie Goldkamp, RN

• Pediatric Emergency Medicine (Emergency Medicine) Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.