DR. LEONARD GOLDMAN, PA
NPI 1376892018
Clinic/Center - Oral and Maxillofacial Surgery in Silver Spring, MD

Active since September 07, 2012
12510 PROSPERITY DR, SUITE 250, SILVER SPRING, MD 20904(301) 622-2700 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leonard Goldman, Pa NPPES

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

DR. LEONARD GOLDMAN, PA (NPI 1376892018) is a healthcare organization registered as an oral and maxillofacial surgery in Silver Spring, Maryland and active in the NPI registry since September 2012. The organization lists Leonard Jay Goldman, President, as its authorized official.

NPPES Registry Identity

NPI1376892018
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameDR. LEONARD GOLDMAN, PA
Location Address12510 PROSPERITY DR, SUITE 250Silver Spring, MD 20904-1663
Mailing Address12510 Prosperity Dr, Suite 250Silver Spring, MD 20904-1663
Organization SubpartNo
Authorized OfficialLeonard Jay GoldmanPresident · (301) 622-2700
Enumeration DateSeptember 7, 2012
✔ NPI 1376892018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in MD · 8392
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
12510 PROSPERITY DR, Silver Spring, MD 20904

Other Identifiers 2

Medicare UPINU10092MD
Medicare NSC1639267172MD

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leonard Goldman, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20120913000100Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Leonard Goldman, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1639267172
12510 PROSPERITY DRIVE SUITE #250
Silver Spring, MD 20904
(301) 622-2700
✔ PECOS✔ Accepts MedicareSame address

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

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 Dr. Leonard Goldman, PA's NPI number?

The NPI number for Dr. Leonard Goldman, PA is 1376892018. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Dr. Leonard Goldman, PA located?

Dr. Leonard Goldman, PA is located at 12510 Prosperity Dr Suite 250, Silver Spring, MD 20904. The listed phone number is (301) 622-2700.

What is Dr. Leonard Goldman, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Dr. Leonard Goldman, PA enrolled in Medicare?

Yes. Dr. Leonard Goldman, PA is registered in the Medicare PECOS enrollment system.

When is Dr. Leonard Goldman, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Leonard Goldman, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Dr. Leonard Goldman, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Leonard Goldman, PA was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.