Individual provider Active NPI

Richard W Golub, MD

  • Colon & Rectal Surgery Physician
  • Sarasota, FL
National Provider Identifier
1891767596
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME85935 Issued in FL
Practice address
3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058
Phone
(941) 341-0042
Fax
(941) 342-3432
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME85935 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058

Mailing address

3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6058
Phone (941) 341-0042

Other identifiers 1

IdentifierTypeStateIssuer
47961OtherFLFL BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Richard.Golub@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100125000200 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5092857334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 206
Sarasota, FL 34232-6058
Phone (941) 341-0042

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85935FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Colon & Rectal Surgery CurrentSince Oct 14, 2002 Accepting new patients

Locations

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

3333 Cattlemen Rd
Ste 206
Sarasota, FL 34232
Phone (941) 341-0042

Interoperability endpoints

  • Direct secure messaging: richard.golub@img.directbygreenway.com

Organizations & group practices 1

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1891767596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-341-0042",
            "fax_number": "941-342-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-341-0042",
            "fax_number": "941-342-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME85935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC/BS",
            "identifier": "47961",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Richard.Golub@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 206",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.