Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACK GOLDSTEIN MD
NPI 1396430229
Emergency Medicine in Bloomington, MN

Active since April 06, 2023PECOS Enrolled
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 835-9880(952) 835-9880 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2026, Apr 6, 2023 (2 updates tracked since 2023).

About Jack Goldstein Md NPPES

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

JACK GOLDSTEIN MD (NPI 1396430229) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Minnesota (82048) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2023).

NPPES Registry Identity

NPI1396430229
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK GOLDSTEINCredential: MD
Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435
Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 835-9880 · Fax (952) 835-4403
Fax(952) 835-9880
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2023
Enumeration DateApril 6, 2023
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1396430229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MN · 82048
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4300 MARKET PTE DR STE 100, Bloomington, MN 55435

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6305205063
PECOS Enrollment IDI20260528002183
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 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435

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 Jack Goldstein's NPI number?

The NPI number for Jack Goldstein is 1396430229. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Jack Goldstein located?

Jack Goldstein practices at 4300 Market Pte Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 835-9880.

What is Jack Goldstein's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jack Goldstein enrolled in Medicare?

Yes. Jack Goldstein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Goldstein was last updated on July 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.