Individual provider Active NPI

Michael H Goldstein, M.D.

  • Specialist
  • Boston, MA
National Provider Identifier
1952365843
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
212836 Issued in MA
Practice address
800 Washington St
# 450
Boston, MA 02111-1552
Phone
(617) 636-0626
Fax
(617) 636-4866
NPI assigned
Apr 17, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 212836 MA Primary

Addresses

Primary practice location

800 Washington St
# 450
Boston, MA 02111-1552

Mailing address

800 Washington Street
New England Eye Center
Boston, MA 02111
Phone (617) 636-0626

Other identifiers 1

IdentifierTypeStateIssuer
0158461MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091109000273 MA Practitioner - Ophthalmology 2961540141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Eye Associates PCGroup PAC ID 1355361742, 14 clinicians
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212836MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Eye Associates, P.C. CurrentSince Jan 7, 2002 Accepting new patients
Pratt Ophthalmology Associates Inc CurrentSince Jan 7, 2002 Accepting new patients
Pratt Ophthalmology Associates, Inc CurrentSince Jan 7, 2002 Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

800 Washington St
#450
Boston, MA 02111
Phone (617) 636-4600

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311

60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050

Interoperability endpoints

  • Direct secure messaging: goldstein.michael.nwea@direct.partners.masshiway.net
  • Direct secure messaging: mgoldstein29420@tuftsmedicine.direct-ci.com

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 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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1952365843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET",
            "address_2": "NEW ENGLAND EYE CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "# 450",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-0626",
            "fax_number": "617-636-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "212836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.