HAYLEY GOLDBACH M.D.
NPI 1154701019
Dermatology in Providence, RI

Q: What is Hayley Goldbach's NPI number?

The NPI number for Hayley Goldbach is 1154701019. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Q: What is Hayley Goldbach's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Hayley Goldbach was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment

593 EDDY STREET, AMBULATORY PATIENT CENTER APC 10, PROVIDENCE, RI 02903(401) 444-7959(401) 444-7144 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Hayley Goldbach M.d. NPPES

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

HAYLEY GOLDBACH M.D. (NPI 1154701019) is an individual dermatology provider in Providence, Rhode Island, licensed in Rhode Island (MD17221) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2015).

NPPES Registry Identity

NPI1154701019

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameHAYLEY GOLDBACHCredential: M.D.

Location Address593 EDDY STREET, AMBULATORY PATIENT CENTER APC 10Providence, RI 02903-4626

Mailing Address3401 Civic Center Blvd, The Children's Hospital Of Philadelphia 9nw Room 55Philadelphia, PA 19104-4319

Phone(401) 444-7959

Fax(401) 444-7144

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2015

Enumeration DateJune 5, 2015

Last NPPES UpdateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1154701019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in RI · MD17221

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedPediatricsTaxonomy 208000000X · License MT208181 (PA)

593 EDDY STREET, Providence, RI 02903

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hayley Goldbach M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759615164

PECOS Enrollment IDI20201120000248

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 Reassignments

Medicare enrollment records show Hayley Goldbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Dermatology, Inc.

Same address

Dermatology

593 EDDY ST, APC-10
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
23 clinicians in this Medicare group

NPI 1730538026 (401) 444-7959

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

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

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

325 services269 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

150 services122 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

117 services105 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

112 services22 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

104 services92 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

87 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services52 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

49 services42 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

46 services37 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

45 services37 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

31 services31 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

25 services24 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

23 services23 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

22 services22 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

22 services22 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

21 services21 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

20 services20 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

17 services17 patients

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 17314

This procedure involves removing growths from the trunk, arms, or legs. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any abnormalities. This aids in diagnosing and treating your condition effectively.

17 services16 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11604

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

12 services12 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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.

BRIAN F GIRARD CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

PETER W WOLFERSEDER CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

MARIE A MILLS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

BETH VANPRAAG CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

JONATHAN D URI MD

Anesthesiology

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

CHRISTINE MARIE RAMALHO DMD

Dentist (General Practice)

593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903

Providence County (401) 444-7195

ANGELA THOMAS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

NICOLE BRETING APRN

Nurse Practitioner

593 EDDY STREET, APC 4
PROVIDENCE, RI 02903

Providence County (401) 553-8355

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 Hayley Goldbach's NPI number?

The NPI number for Hayley Goldbach is 1154701019. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Hayley Goldbach located?

Hayley Goldbach practices at 593 Eddy Street Ambulatory Patient Center Apc 10, Providence, RI 02903. The listed phone number is (401) 444-7959.

What is Hayley Goldbach's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Hayley Goldbach enrolled in Medicare?

Yes. Hayley Goldbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hayley Goldbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Goldbach reassigns Medicare benefits to 2 organizations: Brown Dermatology, Inc. (Providence, RI) and Lifespan Physician Group, Inc. (Providence, RI). Each 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 Hayley Goldbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hayley Goldbach affiliated with any hospitals?

According to CMS data, Hayley Goldbach is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Hayley Goldbach was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.