ILYA G GOLDENBERG MD
NPI 1619976669
Hospitalist in Newark, OH

Q: What is Ilya Goldenberg's NPI number?

The NPI number for Ilya Goldenberg is 1619976669. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Ilya Goldenberg's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilya Goldenberg was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment

2000 TAMARACK RD, NEWARK, OH 43055(614) 297-1158(614) 299-3406 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ilya G Goldenberg Md NPPES

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

ILYA G GOLDENBERG MD (NPI 1619976669) is an individual hospitalist provider in Newark, Ohio, licensed in Ohio (35-081219) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1619976669

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameILYA G GOLDENBERGCredential: MD

Location Address2000 TAMARACK RDNewark, OH 43055-1183

Mailing Address2000 Tamarack RdNewark, OH 43055-1183 · (614) 297-1158 · Fax (614) 299-3406

Phone(614) 297-1158

Fax(614) 299-3406

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 20, 2005

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1619976669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35-081219

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-081219 (OH)

2000 TAMARACK RD, Newark, OH 43055

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Other Identifiers 7

Other2097512OH · First Health

Medicare ID-Type UnspecifiedG04100131OH

Other7826564OH · Aetna

Other000000259749OH · Anthem

Medicare UPINH77854OH

Other7600179OH · Uhc

Medicaid2378896OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilya G Goldenberg Md 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 ID4688778327

PECOS Enrollment IDI20070405000149

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.

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 15

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

JUDSON CARLTON BRANDENBURG

Respiratory Therapist, Certified