DR. SAMUEL R GOLDSTEIN (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1427020122

DR. SAMUEL R GOLDSTEIN (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold the professional credentials M.D.. They hold a License No. 11500 (AL). The NPI Number for DR. SAMUEL R GOLDSTEIN (M.D.) is 1427020122

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL R GOLDSTEIN (M.D.)
NPI
1427020122
Phone
(205) 939-3699
Address
805 SAINT VINCENTS DR
Enumeration Date
6 February 2006
Last Update Date
20 June 2014

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2059393699
Graduation Year
1983 (43 years ago)
PAC ID
8426028846
Group Practice PAC ID
0446554562
Professional Enrollment ID
I20100920000837
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SAMUEL R GOLDSTEIN (M.D.)

  • Orthosports Building, 805, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    SUITE 100

    BIRMINGHAM, AL 352051636

    Phone: (205) 939-3699

    Fax: (205) 581-7155

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100920000837IOrthopedic SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446554562View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAL
Internal MedicineAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Occupational Therapist In Private PracticeAL
Physician AssistantAL
Occupational Therapist In Private PracticeGA
Orthopedic SurgeryAL
Family PracticeAL
-AL

Reviews

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Frequently asked questions

Can I cross-check DR. SAMUEL R GOLDSTEIN (M.D.) using NPI 1427020122?
NPI 1427020122 belongs to DR. SAMUEL R GOLDSTEIN (M.D.); compare other details if you need extra assurance.
Is DR. SAMUEL R GOLDSTEIN (M.D.) still an active registrant?
DR. SAMUEL R GOLDSTEIN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. SAMUEL R GOLDSTEIN (M.D.)?
DR. SAMUEL R GOLDSTEIN (M.D.)'s record emphasizes Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL R GOLDSTEIN (M.D.) associated with Birmingham?
Public fields place DR. SAMUEL R GOLDSTEIN (M.D.) around Birmingham, Alabama. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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