ILIYA GOLDBERG M.D.
NPI 1558715375
Surgery in San Bernardino, CA
About Iliya Goldberg M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILIYA GOLDBERG M.D. (NPI 1558715375) is an individual surgery provider in San Bernardino, California, licensed in California (A170915) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Iliya Goldberg M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Iliya Goldberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,191 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
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 Iliya Goldberg's NPI number?
The NPI number for Iliya Goldberg is 1558715375. It was assigned to this individual provider in the NPPES registry on April 18, 2016.
Where is Iliya Goldberg located?
Iliya Goldberg practices at 401 E Highland Ave Ste 351, San Bernardino, CA 92404. The listed phone number is (909) 475-8611.
What is Iliya Goldberg's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Iliya Goldberg enrolled in Medicare?
Yes. Iliya Goldberg 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 Iliya Goldberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Iliya Goldberg reassigns Medicare benefits to 2 organizations: Western Bariatric, A Medical Corporation (San Bernardino, CA) and Dignity Health Medical Foundation (San Bernardino, CA). 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 Iliya Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Iliya Goldberg was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Iliya Goldberg, M.D. · NPI 1558715375
Surgery physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since April 18, 2016.
## Identity
- **NPI:** 1558715375 (Entity type: Individual)
- **Enumerated:** April 18, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A170915 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 E HIGHLAND AVE STE 351, San Bernardino, CA 92404-3830
- **Phone:** (909) 475-8611 · **Fax:** (909) 475-2566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Western Bariatric, A Medical Corporation (NPI 1184821373, San Bernardino, CA); Dignity Health Medical Foundation (NPI 1053653873, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558715375) · Data from the CMS NPPES public registry.