NPIMap

Individual provider Active NPI

Uri Z Goldberg, D.O.

  • Family Medicine Physician
  • Toledo, OR
National Provider Identifier
1902809502
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO159256 Issued in OR
Practice address
199 W Highway 20
Toledo, OR 97391-1242
Phone
(541) 336-5181
Fax
(541) 336-7614
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO159256 OR Primary
Family Medicine Physician 207Q00000X 41999 CO

Addresses

Primary practice location

199 W Highway 20
Toledo, OR 97391-1242

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Other identifiers 2

IdentifierTypeStateIssuer
15929353MedicaidCO
500650948MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ugoldberg5758@samhealth.direct-ci.com

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
I20121116000345 OR Practitioner - Family Practice 9234190737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, 86 clinicians

Practice addresses (Care Compare)

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Lincoln City, OR, CCN 387077
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41999COMDFamily Medicine Physician
DO159256ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Sep 26, 2012 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Sep 26, 2012 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Dec 28, 2025 Accepting new patients

Locations

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

199 W Highway 20
Toledo, OR 97391
Phone (541) 336-5181

Interoperability endpoints

  • Direct secure messaging: ugoldberg5758@samhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1902809502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W HIGHWAY 20",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973911242",
            "telephone_number": "541-336-5181",
            "fax_number": "541-336-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "URI",
        "middle_name": "Z",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO159256",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15929353",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650948",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ugoldberg5758@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "199 W Highway 20",
            "city": "Toledo",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973911242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OR

Sources for this page

Verify at the official NPI Registry.