JAKE I. GOLDSTEIN MD
NPI 1114674223
Hospitalist in Murray, UT

Q: What is Jake Goldstein's NPI number?

The NPI number for Jake Goldstein is 1114674223. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Q: What is Jake Goldstein's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Goldstein was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 08, 2022PECOS Enrolled

5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-4384 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Sep 19, 2024, Mar 9, 2022 (3 updates tracked since 2022).

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About Jake I. Goldstein Md NPPES

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

JAKE I. GOLDSTEIN MD (NPI 1114674223) is an individual hospitalist provider in Murray, Utah, licensed in Utah (14137361-1205) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114674223

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameJAKE I. GOLDSTEINCredential: MD

Location Address5121 S COTTONWOOD STMurray, UT 84107-5701

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 507-4384

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 8, 2022

Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1114674223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in UT · 14137361-1205

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14137361-1205 (UT)

5121 S COTTONWOOD ST, Murray, UT 84107

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Secondary Practice Locations 3

Location 1Helix 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · Phone (801) 581-2121

Location 22160 S 1st AveMaywood, IL 60153-3328 · Phone (561) 322-5757

Location 31133 South Blvd Apt 613Oak Park, IL 60302-3279 · Phone (561) 322-5757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake I. Goldstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022549302

PECOS Enrollment IDI20260731002335

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jake Goldstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

Same address

Hospitalist

5121 S COTTONWOOD ST
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1235664251 (801) 442-0934

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ANASTASIYA MANKOUSKI MD

Pediatrics (Neonatal-Perinatal Medicine)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-7000

TARYN A. YOUNG MD

Hospitalist

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-4384

NATHANIEL ALAN KELLER DPT

Physical Therapist

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (805) 798-2901

JENNIFER LAWLEY RN

Student in an Organized Health Care Education/Training Program

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

DR. JARED DAVID MILLER MD

Internal Medicine (Clinical Cardiac Electrophysiology)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-3500

JONATHAN MIDDLEMISS PA-C

Physician Assistant

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3460

RICHA PARAG SHETH MD

Internal Medicine

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

ANDREW SCOTT BIESINGER NP

Nurse Practitioner

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3462

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 Jake Goldstein's NPI number?

The NPI number for Jake Goldstein is 1114674223. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Jake Goldstein located?

Jake Goldstein practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-4384.

What is Jake Goldstein's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jake Goldstein enrolled in Medicare?

Yes. Jake Goldstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jake Goldstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Goldstein reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Goldstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jake Goldstein was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.