Sholom Gootzeit, D.O.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

005463 Issued in AZ

Practice address

17233 N Holmes Blvd Ste 1640
13761 W. Bell Road, Suite 203, Surprise, Az 85374
Phoenix, AZ 85053-2020

Phone

(602) 467-8682

NPI assigned

Jan 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheitelman Medical PLCGroup PAC ID 9436311719, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheitelman Medical PLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1508139429
  Medicare reassignment Care Compare group NPD
• Pathways Acupuncture, PLLC

  • Acupuncturist
  • Surprise, AZ
  • NPI 1467919167
  Medicare reassignment NPD
• Mind & Body - Clinical & Chiropractic

  • Chiropractor
  • Glendale, AZ
  • NPI 1245038702
  NPD
• Sheitelman Medical Glendale

  • Chiropractor
  • Glendale, AZ
  • NPI 1821602715
  NPD
• Sheitelman Chiropractic Inc

  • Chiropractor
  • Surprise, AZ
  • NPI 1144373978
  NPD (past)
• Strength Training Inc

  dba STI Therapy Division

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1821141250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13757 W BELL RD",
            "address_2": "STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742452",
            "telephone_number": "623-214-7600",
            "fax_number": "623-214-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1640",
            "address_2": "13761 W. BELL ROAD, SUITE 203, SURPRISE, AZ 85374",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532020",
            "telephone_number": "602-467-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOTZEIT",
        "first_name": "SHOLOM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "005463",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "AZ",
            "license": "005463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Solis Goodwin, RD
• Caridad Goosby, RN
• Goot Nursing Home Pharmacy Inc (Pharmerica)
• Vasu D. Gooty, MD
• Randy J Gootzeit, MS, OTR/L, CHT
• Malia Goozen-Suor, MS, CCP
• Venu Gopal, MD
• Radha S Gopalan, MD
• Gopi Kapadia DDS PC (Especialidades Dentales)
• Zoey Glenn Goralski, PA-C

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.