Active NPI
Jan Michael Goldberger, D.O.
- Family Medicine Physician
- Saginaw, MI
National Provider Identifier
1881759868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007063
- Practice address
- 10420 Swan Creek Rd
Saginaw, MI 48609-9117 - Phone
- (989) 781-2381
- Fax
- (989) 781-5118
- NPI assigned
- Dec 27, 2006
- Last updated
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007063 | MI | Primary |
Addresses
Primary practice location
10420 Swan Creek Rd
Saginaw, MI 48609-9117
Mailing address
10420 Swan Creek Rd
Saginaw, MI 48609-9117
Phone (989) 781-2381
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010E660190 | Other | MI | BCBS |
| JG007063 | Other | MI | BCBS |
| 010Z960170 | Other | MI | BLUE CROSS BLUE SHIELD |
| 010Z911030 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0E66019 | Other | MI | MEDICARE GROUP |
| 60737A | Other | MI | HEALTH ALLIANCE PLAN |
| QMP000003387413 | Other | MI | MOLINA HEALTH CARE |
| 1954041 | Medicaid | MI | |
| 5176043 | Medicaid | MI | |
| 5189275 | Medicaid | MI | |
| 0Z96017 | Other | MI | MEDICARE PTAN |
| AF09001 | Other | MI | MCARE |
| 102453 | Other | MI | GOOD HEALTH MICHIGAN |
| 5189266 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007063 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishan L Kella MD PC | Family Medicine | Past | Accepting new patients |
| Euclid Medical Group PC | Family Medicine | Past | Accepting new patients |
| Euclid Medical Group P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bay City, MI
- NPI 1366488728
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1053367524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1881759868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 SWAN CREEK RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486099117",
"telephone_number": "989-781-2381",
"fax_number": "989-781-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 SWAN CREEK RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486099117",
"telephone_number": "989-781-2381",
"fax_number": "989-781-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERGER",
"first_name": "JAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010E660190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "JG007063",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010Z960170",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010Z911030",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "0E66019",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "60737A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE",
"identifier": "QMP000003387413",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1954041",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5176043",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5189275",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0Z96017",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "AF09001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOOD HEALTH MICHIGAN",
"identifier": "102453",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5189266",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.