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IRA GOLDITCH M.D.
NPI 1346696358
Obstetrics & Gynecology in Santa Rosa, CA

Active since May 09, 2016PECOS Enrolled
1401 FOUNTAINGROVE PKWY, #305, SANTA ROSA, CA 95403(707) 591-9855 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ira Golditch M.d. NPPES

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

IRA GOLDITCH M.D. (NPI 1346696358) is an individual obstetrics & gynecology provider in Santa Rosa, California, licensed in California (G12620) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346696358
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameIRA GOLDITCHCredential: M.D.
Location Address1401 FOUNTAINGROVE PKWY, #305Santa Rosa, CA 95403-5757
Mailing Address1401 Fountaingrove Pkwy, #305Santa Rosa, CA 95403-5757 · (707) 591-9855
Phone(707) 591-9855
Sole ProprietorYes
Enumeration DateMay 9, 2016
✔ NPI 1346696358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G12620
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1401 FOUNTAINGROVE PKWY, Santa Rosa, CA 95403
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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)

Ira Golditch M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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

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

PHILIP DUMALIGAN
Physical Therapist
1401 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403
Sonoma County (707) 791-0163

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 Ira Golditch's NPI number?

The NPI number for Ira Golditch is 1346696358. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Ira Golditch located?

Ira Golditch practices at 1401 Fountaingrove Pkwy #305, Santa Rosa, CA 95403. The listed phone number is (707) 591-9855.

What is Ira Golditch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ira Golditch enrolled in Medicare?

Yes. Ira Golditch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ira Golditch was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.