STEPHANIE GOLDSTEIN M.D.
NPI 1619237609
Pediatrics - Pediatric Critical Care Medicine in Ann Arbor, MI

Q: What is Stephanie Goldstein's NPI number?

The NPI number for Stephanie Goldstein is 1619237609. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Q: What is Stephanie Goldstein's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since May 23, 2012PECOS Enrolled

1500 E MEDICAL CENTER DR, L1242 WOMENS/5204, ANN ARBOR, MI 48109(734) 936-4038(734) 936-9470 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Apr 7, 2020 (2 updates tracked since 2020).

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About Stephanie Goldstein M.d. NPPES

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

STEPHANIE GOLDSTEIN M.D. (NPI 1619237609) is an individual pediatric critical care medicine provider in Ann Arbor, Michigan, licensed in Utah (11690486-1205) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619237609

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameSTEPHANIE GOLDSTEINCredential: M.D.

Location Address1500 E MEDICAL CENTER DR, L1242 WOMENS/5204Ann Arbor, MI 48109-5000

Mailing Address1500 E. Medical Center Drive, D3236 MpbAnn Arbor, MI 48109-5718 · (734) 763-5589 · Fax (734) 763-4208

Phone(734) 936-4038

Fax(734) 936-9470

Sole ProprietorNo

Enumeration DateMay 23, 2012

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1619237609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in UT · 11690486-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 4301100741 (MI)

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Goldstein 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 Stephanie Goldstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Acuity Care

1,454 mi

Neuromuscular Medicine

501 S CHIPETA WAY
Salt Lake City, UT 84108

Reassigned Medicare billing, Utah enrollment
202 clinicians in this Medicare group

NPI 1558723445 (801) 587-6336

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 20

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

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Stephanie Goldstein's NPI number?

The NPI number for Stephanie Goldstein is 1619237609. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Stephanie Goldstein located?

Stephanie Goldstein practices at 1500 E Medical Center Dr L1242 Womens/5204, Ann Arbor, MI 48109. The listed phone number is (734) 936-4038.

What is Stephanie Goldstein's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Stephanie Goldstein enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Goldstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Goldstein reassigns Medicare benefits to University Of Utah Pediatric Acuity Care (Salt Lake City, UT). 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 Stephanie Goldstein'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 Stephanie Goldstein was last updated on December 17, 2021. 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.