Individual provider Active NPI

Andrew L Goldberg, MD

  • Neuroradiology Physician
  • Cleveland, OH
National Provider Identifier
1922100627
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
35079550 Issued in OH
Practice address
2500 Metrohealth Dr
MHMC-Radiology
Cleveland, OH 44109-1900
Phone
(216) 778-3456
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 35079550 OH Primary
Diagnostic Radiology Physician 2085R0202X 35079550 OH

Addresses

Primary practice location

2500 Metrohealth Dr
MHMC-Radiology
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
MHMC-Radiology
Cleveland, OH 44109-1900
Phone (216) 778-3456

Other identifiers 1

IdentifierTypeStateIssuer
0846115MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050831000451 OH Practitioner - Diagnostic Radiology 3476585308 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Dec 1, 2005 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Dec 1, 2005 Accepting new patients
Eastside MRI Limited Partnership Past Accepting new patients
Allegheny Radiology Associates, LTD Diagnostic Radiology Past Accepting new patients
Open MRI of Steubenville, LTD Past Accepting new patients
Southwest General Medical Group Inc Past Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

7255 Old Oak Blvd
Ste 305
Middleburg Heights, OH 44130
Phone (440) 891-8880

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1922100627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "MHMC-RADIOLOGY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "MHMC-RADIOLOGY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35079550",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35079550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0846115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.