Individual provider Active NPI

Elizabeth Cari West Goelz, MD

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1952563116
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54817 Issued in MN
Practice address
701 Park Avenue South (P7)
Minneapolis, MN 55415-1829
Phone
(612) 873-2300
Fax
(612) 904-4261
NPI assigned
Jun 30, 2008
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54817 MN Primary

Addresses

Primary practice location

701 Park Avenue South (P7)
Minneapolis, MN 55415-1829

Mailing address

701 Park Avenue South (P7)
Minneapolis, MN 55415-1829
Phone (612) 873-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120109000724 MN Practitioner - Internal Medicine 8628244910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

165 Glenwood Ave
Minneapolis, MN 55405-1618
Phone (612) 348-5553

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54817MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2012 Accepting new patients
Hennepin County CurrentSince Oct 1, 2014 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2012 Accepting new patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Oct 1, 2014 Accepting new patients
Hennepin Faculty Associates Past Accepting new patients
Hennepin Healthcare System, Inc Past Accepting new patients
Hennepin Faculty Associates Past Accepting new patients

Locations

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334

701 Park Ave
#S
Minneapolis, MN 55415
Phone (612) 873-2300

914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1952563116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVENUE SOUTH (P7)",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151829",
            "telephone_number": "612-873-2300",
            "fax_number": "612-904-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVENUE SOUTH (P7)",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151829",
            "telephone_number": "612-873-2300",
            "fax_number": "612-904-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELZ",
        "first_name": "ELIZABETH",
        "middle_name": "CARI WEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "54817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.