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ELLIOTT GOLDBERG MD
NPI 1205415783
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 03, 2021PECOS Enrolled
1215 LEE ST, MAIL STOP 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elliott Goldberg Md NPPES

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

ELLIOTT GOLDBERG MD (NPI 1205415783) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205415783
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELLIOTT GOLDBERGCredential: MD
Location Address1215 LEE ST, MAIL STOP 800744Charlottesville, VA 22908-0816
Mailing Address1215 Lee St, Mail Stop 800744Charlottesville, VA 22908-0816 · (434) 924-1931
Phone(434) 924-1931
Sole ProprietorNo
Enumeration DateApril 3, 2021
NPPES CertifiedApril 3, 2021
✔ NPI 1205415783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliott Goldberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$17.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$89.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Elliott Goldberg's NPI number?

The NPI number for Elliott Goldberg is 1205415783. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Elliott Goldberg located?

Elliott Goldberg practices at 1215 Lee St Mail Stop 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.

What is Elliott Goldberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elliott Goldberg enrolled in Medicare?

Yes. Elliott Goldberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elliott Goldberg was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.