SAMUEL GOLDBERG MD
NPI 1093817983
Psychiatry & Neurology - Clinical Neurophysiology in Columbia, MD

Active since September 02, 2006Opted out of Medicare · through Oct 13, 2027
10451 TWIN RIVERS RD, COLUMBIA, MD 21044(410) 997-3557(410) 964-1791 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Goldberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GOLDBERG MD (NPI 1093817983) is an individual clinical neurophysiology provider in Columbia, Maryland, licensed in Maryland (D0024347) and active in the NPI registry since September 2006. He has opted out of Medicare through October 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093817983
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameSAMUEL GOLDBERGCredential: MD
Location Address10451 TWIN RIVERS RDColumbia, MD 21044-2388
Mailing Address4623 Falls RdBaltimore, MD 21209-4914 · (410) 366-1980 · Fax (410) 366-8530
Fax(410) 964-1791
Sole ProprietorYes
Enumeration DateSeptember 2, 2006
Last NPPES UpdateOctober 16, 2008
NPI 1093817983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Licenses Licensed in MD · D0024347 Licensed in MD · M17939
Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

10451 TWIN RIVERS RD, Columbia, MD 21044

Other Identifiers 9

Other2143757000MD · Amerihealth
Medicaid400491400MD
Other115468MD · Kaiser
Other034197-000MD · Magellan
OtherT541-0032MD · Carefirst Bcbs - Dc
Other347492MD · Mamsi
OtherT541-0032MD · Carefirst
OtherPVPB129834MD · Aps Healthcare
Other4281365MD · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Samuel Goldberg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 13, 2021 through October 13, 2027.

Opt-Out Effective DateOctober 13, 2021
Opt-Out In Effect ThroughOctober 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Psychologist (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
In Home Supportive Care
10451 TWIN RIVERS RD, SUITE 234
COLUMBIA, MD 21044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093817983, enumerated as an "individual" on September 02, 2006.

The provider is located at 10451 TWIN RIVERS RD COLUMBIA, MD 21044 and the phone number is (410) 997-3557.

Psychiatry & Neurology with taxonomy code 2084N0600X and a focus in Clinical Neurophysiology.

The provider might be accepting Accepts: AmeriHealth, Medicare, Medicaid, Kaiser Health,. Please consult your insurance carrier or call the provider to verify.