DR. JOHN D GOLDENBERG M.D.
NPI 1295882280
Otolaryngology in Carmel, IN

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
11725 ILLINOIS ST, SUITE 445, CARMEL, IN 46032(317) 844-7059(317) 819-0044 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2024, May 5, 2022, Jun 18, 2021 (3 updates tracked since 2021).

About Dr. John D Goldenberg M.d. NPPES

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

DR. JOHN D GOLDENBERG M.D. (NPI 1295882280) is an individual otolaryngology provider in Carmel, Indiana, licensed in Indiana (01048458A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1295882280
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN D GOLDENBERGCredential: M.D.
Location Address11725 ILLINOIS ST, SUITE 445Carmel, IN 46032-3010
Mailing Address10201 N Illinois St Ste 110Carmel, IN 46290-1172 · (317) 844-7059 · Fax (317) 819-0044
Fax(317) 819-0044
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1295882280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IN · 01048458A
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

11725 ILLINOIS ST, Carmel, IN 46032

Other Identifiers 4

Other266180H71IN · Individual Medicare Ptan
Medicaid200166360IN
OtherQ00256328IN · Railroad Medicare
Other040011990IN · Medicare Railroad

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John D Goldenberg 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 ID8123055159
PECOS Enrollment IDI20100405000488
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.

Areas of Expertise CMS Part B claims 11

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.

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.
204 services125 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
198 services120 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.
130 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
108 services108 patients
Biopsy of voice box using an endoscope with operating microscope or telescope 31536
A biopsy of the voice box, also known as larynx, involves using a thin tube called an endoscope equipped with a microscope or telescope. This tool helps visualize the area clearly. A small tissue sample is then taken for examination to detect any abnormal cells.
19 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims1,650 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier12 claims1,750 services$0.18 avg. paid by Medicare
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier42 claims5,550 services$2.12 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
1 supplier26 claims2,215 services$2.10 avg. paid by Medicare
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$40.46 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers14 claims237 services$2.62 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.

Nurse Practitioner (Women's Health)
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology (Obstetrics)
11725 ILLINOIS ST
CARMEL, IN 46032
Internal Medicine (Gastroenterology)
11725 ILLINOIS ST, STE 275
CARMEL, IN 46032
Advanced Practice Midwife
11725 ILLINOIS ST
CARMEL, IN 46032
Physician Assistant
11725 ILLINOIS ST
CARMEL, IN 46032
Nurse Practitioner (Obstetrics & Gynecology)
11725 ILLINOIS ST
CARMEL, IN 46032

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 John Goldenberg's NPI number?

The NPI number for John Goldenberg is 1295882280. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is John Goldenberg located?

John Goldenberg practices at 11725 Illinois St Suite 445, Carmel, IN 46032. The listed phone number is (317) 844-7059.

What is John Goldenberg's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Goldenberg enrolled in Medicare?

Yes. John Goldenberg 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.

What insurance does John Goldenberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list John Goldenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Goldenberg affiliated with any hospitals?

According to CMS data, John Goldenberg is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County, Community Hospital South, Inc., Indiana University Health North Hospital and Community Hospital North.

When was this NPI record last updated?

The NPPES record for John Goldenberg was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.