NPIMap

Individual provider Active NPI

Keith David Goldstein, M.D.

  • Medical Oncology Physician
  • Eugene, OR
National Provider Identifier
1861462566
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD181720 Issued in OR
Practice address
520 Country Club
Eugene, OR 97401-6036
Phone
(541) 683-5001
Fax
(541) 683-1422
NPI assigned
Jan 25, 2006
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD181720 OR Primary

Addresses

Primary practice location

520 Country Club
Eugene, OR 97401-6036

Mailing address

520 Country Club
Eugene, OR 97401-6036
Phone (541) 683-5001

Other identifiers 1

IdentifierTypeStateIssuer
500726049MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620000052 OR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3173526480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1256

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Associates of Oregon P C CurrentSince Nov 1, 2020 Accepting new patients
Albany General Hospital Current Accepting new patients
Oncology Associates of Oregon P C Medical Oncology CurrentSince Nov 1, 2020 Accepting new patients
Albany General Hospital CurrentSince Jul 1, 2017 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Albany General Hospital CurrentSince Jul 1, 2017 Accepting new patients
Samaritan North Lincoln Hospital PastSince Jul 1, 2017 Accepting new patients
South Florida Oncology and Hematology Consultants LLC Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Jul 1, 2017 Accepting new patients

Locations

2615 Willetta St SW
Albany, OR 97321

2615 Willetta St SW
Ste C2
Albany, OR 97321
Phone (541) 754-1256

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

3500 Chad Dr
Ste 300
Eugene, OR 97408

520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

525 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 258-2101

3015 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-5591

2039 N Coast Hwy
Newport, OR 97365
Phone (541) 754-1256

Interoperability endpoints

  • Direct secure messaging: kdgoldst@yourcarecommunity.org
  • Direct secure messaging: keith.goldstein@wvci.ikm.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861462566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KEITH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD181720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500726049",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.