Individual provider Active NPI

Jonathan Shimon Goldberg, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1831535996
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP10046221 Issued in TX
Practice address
1709 Dryden Rd
Suite 1700
Houston, TX 77030-2400
Phone
(713) 798-5117
Fax
(713) 798-6374
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10046221 TX Primary

Addresses

Primary practice location

1709 Dryden Rd
Suite 1700
Houston, TX 77030-2400

Mailing address

1709 Dryden Rd
Suite 1700
Houston, TX 77030-2400
Phone (713) 798-5117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161111001597 TX Practitioner - Anesthesiology 9133408206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians

Practice addresses (Care Compare)

1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5000

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

Hospital & facility affiliations

  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10046221TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince May 14, 2017 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1313 Hermann Dr
#270
Houston, TX 77004
Phone 281580903014

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1107 Banks St
Houston, TX 77006
Phone (281) 492-1234

1313 Hermann Dr
Ste 270
Houston, TX 77004
Phone (281) 444-3681

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1831535996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 DRYDEN RD",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302400",
            "telephone_number": "713-798-5117",
            "fax_number": "713-798-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DRYDEN RD",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302400",
            "telephone_number": "713-798-5117",
            "fax_number": "713-798-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JONATHAN",
        "middle_name": "SHIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10046221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.