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SCOTT GOLDBERG
NPI 1801258504
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 22, 2016PECOS Enrolled
100/100
CMS Quality Rating
1656 S THROOP ST APT 2R, CHICAGO, IL 60608(732) 539-3733 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Goldberg NPPES

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

SCOTT GOLDBERG (NPI 1801258504) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801258504
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSCOTT GOLDBERG
Location Address1656 S THROOP ST APT 2RChicago, IL 60608-2136
Mailing Address1656 S Throop St Apt 2rChicago, IL 60608-2136
Phone(732) 539-3733
Sole ProprietorYes
Enumeration DateMarch 22, 2016
✔ NPI 1801258504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1656 S THROOP ST APT 2R, Chicago, IL 60608
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Goldberg 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Scott Goldberg's NPI number?

The NPI number for Scott Goldberg is 1801258504. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Scott Goldberg located?

Scott Goldberg practices at 1656 S Throop St Apt 2R, Chicago, IL 60608. The listed phone number is (732) 539-3733.

What is Scott Goldberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Scott Goldberg enrolled in Medicare?

Yes. Scott Goldberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Goldberg was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.