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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: August 16, 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
Phone(410) 997-3557
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
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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.

MS. CONNIE ANGIULI LCSW-C
Social Worker (Clinical)
10451 TWIN RIVERS RD, SUITE 100
COLUMBIA, MD 21044
Howard County (410) 997-3557
RONA LEVI LCSW-C
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 997-3557
ALEXANDRA CARGO PHD
Psychologist (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 997-3557
DOLORES MADIOU LCSW-C
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 997-3557
LORI JENNER
Counselor (Professional)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 099-7355
REBECCA GRAD
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 997-3557
BARBARA DOUGHERTY LCSW-C
Social Worker (Clinical)
10451 TWIN RIVERS RD
COLUMBIA, MD 21044
Howard County (410) 997-3557
BESTCARE HOME HEALTH SERVICES, INC
In Home Supportive Care
10451 TWIN RIVERS RD, SUITE 234
COLUMBIA, MD 21044
Howard County (443) 546-4299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Goldberg's NPI number?

The NPI number for Samuel Goldberg is 1093817983. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Samuel Goldberg located?

Samuel Goldberg practices at 10451 Twin Rivers Rd, Columbia, MD 21044. The listed phone number is (410) 997-3557.

What is Samuel Goldberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Samuel Goldberg enrolled in Medicare?

No. Samuel Goldberg has opted out of Medicare through October 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Samuel Goldberg was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.