ALYSSA RAE GOLDBACH D.O.
NPI 1528446424
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-7237(215) 707-9389 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Nov 12, 2024, Jun 12, 2020 (3 updates tracked since 2020).

About Alyssa Rae Goldbach D.o. NPPES

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

ALYSSA RAE GOLDBACH D.O. (NPI 1528446424) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS0202297) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528446424
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameALYSSA RAE GOLDBACHCredential: D.O.
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3500 N Broad St # 1aPhiladelphia, PA 19140-4106 · (215) 707-3411
Fax(215) 707-9389
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 12, 2015
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1528446424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · OS0202297✔ Licensed in WA · OP61628374
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3401 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Locations 2

Location 11500 Lansdowne AveDarby, PA 19023-1200 · Phone (610) 237-4000
Location 21304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Rae Goldbach D.o. 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 ID3577984962
PECOS Enrollment IDI20200611001463
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 Reassignments

10

Medicare enrollment records show Alyssa Goldbach reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
Diagnostic Radiology
100 E LANCASTER AVE
Wynnewood, PA 19096
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 67 clinicians in this Medicare group
Diagnostic Radiology
255 W LANCASTER AVE
Paoli, PA 19301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 72 clinicians in this Medicare group
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
Emergency Medicine
301 N MAIN ST
Sheridan, MI 48884
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
Diagnostic Radiology
1320 S UNIVERSITY DR
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 445 clinicians in this Medicare group
Radiology
1304 FAWCETT AVE STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, Pennsylvania and Texas enrollments
  • 4 clinicians in this Medicare group
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
2,387 mi
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Pennsylvania and Texas enrollments
  • 4 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 59

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,760 services37 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,141 services1,141 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,139 services1,139 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
654 services585 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
319 services305 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
218 services218 patients

Hospital Affiliations CMS Care Compare 4

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Alyssa Goldbach's NPI number?

The NPI number for Alyssa Goldbach is 1528446424. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Alyssa Goldbach located?

Alyssa Goldbach practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-7237.

What is Alyssa Goldbach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Alyssa Goldbach enrolled in Medicare?

Yes. Alyssa Goldbach 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.

Which organizations bill Medicare for Alyssa Goldbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Goldbach reassigns Medicare benefits to 10 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA), Main Line Health Imaging LP (Wynnewood, PA), Radiology Associates Of The Main Line P C (Paoli, PA), Baptist Health Medical Group Inc (Lexington, KY), Sheridan Community Hospital (Sheridan, MI) and 5 more organizations, listed in the Medicare section above. Each 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 Alyssa Goldbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Goldbach accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna Healthcare, Premera Blue Cross Blue Shield of Alaska and Priority Health list Alyssa Goldbach 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 Alyssa Goldbach affiliated with any hospitals?

According to CMS data, Alyssa Goldbach is affiliated with Temple Health - Chestnut Hill Hospital, Temple University Hospital, Holy Redeemer Hospital And Medical Center and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Goldbach was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.