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KAREN Y GOLDBERG M.D.
NPI 1457331191
Pediatrics - Adolescent Medicine in Madison, CT

Active since January 19, 2006PECOS Enrolled
1110 DURHAM RD, MADISON, CT 06443(203) 421-3600(203) 421-3627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Y Goldberg M.d. NPPES

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

KAREN Y GOLDBERG M.D. (NPI 1457331191) is an individual adolescent medicine provider in Madison, Connecticut, licensed in Connecticut (037750) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457331191
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameKAREN Y GOLDBERGCredential: M.D.
Location Address1110 DURHAM RDMadison, CT 06443-1858
Mailing Address1110 Durham RdMadison, CT 06443-1858 · (203) 421-3600 · Fax (203) 421-3627
Phone(203) 421-3600
Fax(203) 421-3627
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457331191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CT · 037750
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1110 DURHAM RD, Madison, CT 06443
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Y Goldberg 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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Physicians PC
28 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

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

Other Providers at the Same Location NPPES 8

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

AMY G GOLDEN PNP
Nurse Practitioner (Pediatrics)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
MADISON ALAIA FUCCI
Nurse Practitioner (Family)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
ERIN S. SPRINGHORN M.D.
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
BRUCE G FREEMAN MD
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
Pediatrics (Adolescent Medicine)
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
KAITLIN C QUALLEN MD
Pediatrics
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
DR. KIMBERLY ANNE PALMIERI M.D.
Pediatrics
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 421-3600
MARY ELIZABETH WHALEN
Occupational Therapy Assistant
1110 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 751-7182

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 Karen Goldberg's NPI number?

The NPI number for Karen Goldberg is 1457331191. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Karen Goldberg located?

Karen Goldberg practices at 1110 Durham Rd, Madison, CT 06443. The listed phone number is (203) 421-3600.

What is Karen Goldberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Karen Goldberg enrolled in Medicare?

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

Which organization bills Medicare for Karen Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Goldberg reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). The 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 Karen Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Goldberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Goldberg 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.

When was this NPI record last updated?

The NPPES record for Karen Goldberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.