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EDGAR CLINTON GOLDSTON JR. M.D.
NPI 1942492079
Physical Medicine & Rehabilitation - Pain Medicine in Salt Lake City, UT

Active since August 13, 2007PECOS Enrolled
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132(801) 581-6908(801) 581-4135 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Clinton Goldston Jr. M.d. NPPES

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

EDGAR CLINTON GOLDSTON JR. M.D. (NPI 1942492079) is an individual pain medicine provider in Salt Lake City, Utah, licensed in Utah (90-182672-1205) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942492079
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameEDGAR CLINTON GOLDSTON JR.Credential: M.D.
Location Address175 NORTH MEDICAL DRIVE EASTSalt Lake City, UT 84132-2303
Mailing Address175 North Medical Drive EastSalt Lake City, UT 84132-2303 · (801) 581-6908 · Fax (801) 581-4135
Phone(801) 581-6908
Fax(801) 581-4135
Sole ProprietorNo
Enumeration DateAugust 13, 2007
Last NPPES UpdateAugust 14, 2007
✔ NPI 1942492079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in UT · 90-182672-1205
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
175 NORTH MEDICAL DRIVE EAST, Salt Lake City, UT 84132
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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)

Edgar Clinton Goldston Jr. 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 Edgar Goldston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Acuity Care Services
0.2 mi
Critical Care Medicine
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
NPI 1407250541 (801) 581-2121

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 14

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

TAMMY L SMITH M.D. PHD
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-6387
DR. JARED BARTELL M.D.
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-6387
YOJI HOSHINA MB
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-6387
RAJIV IYER MD
Neurological Surgery
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
CONOR T. FLAVIN MD
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-5405
JYOTIKA SINGH DO
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-1513
ROBERT KADISH MD
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-6387
SARAH E. GERMAINE DO
Psychiatry & Neurology (Neurology)
175 NORTH MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Salt Lake County (801) 382-7007

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 Edgar Goldston's NPI number?

The NPI number for Edgar Goldston is 1942492079. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Edgar Goldston located?

Edgar Goldston practices at 175 North Medical Drive East, Salt Lake City, UT 84132. The listed phone number is (801) 581-6908.

What is Edgar Goldston's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Edgar Goldston enrolled in Medicare?

Yes. Edgar Goldston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgar Goldston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Goldston reassigns Medicare benefits to University Of Utah Acuity Care Services (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 Edgar Goldston'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 Edgar Goldston was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.