ERIC GOLDSTEIN
NPI 1629640404
Physician Assistant - Medical in Libertyville, IL

Q: What is Eric Goldstein's NPI number?

The NPI number for Eric Goldstein is 1629640404. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Q: What is Eric Goldstein's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Eric Goldstein was last updated on February 4, 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.

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment

716 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 362-1848 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 4, 2022, Jan 4, 2022, Jul 12, 2021 (3 updates tracked since 2021).

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About Eric Goldstein NPPES

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

ERIC GOLDSTEIN (NPI 1629640404) is an individual medical provider in Libertyville, Illinois, licensed in Illinois (085.008644) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1629640404

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameERIC GOLDSTEIN

Location Address716 S MILWAUKEE AVELibertyville, IL 60048-3225

Mailing Address716 S Milwaukee AveLibertyville, IL 60048-3225 · (847) 362-1848

Phone(847) 362-1848

Sole ProprietorYes

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2021

Enumeration DateJuly 12, 2021

Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1629640404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085.008644

716 S MILWAUKEE AVE, Libertyville, IL 60048

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Eric Goldstein 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 ID5395139208

PECOS Enrollment IDI20220218000420

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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

226 services152 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

32 services21 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

22 services16 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

15 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

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.

CASSANDRA LEIGH SNIDER PA-C

Physician Assistant