MICHAEL J. GOLDBERG (MD) – Gastroenterology Physician, NPI 1134159064

MICHAEL J. GOLDBERG (MD) is a healthcare provider. based in Evanston, Illinois. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036053756 (IL). The NPI Number for MICHAEL J. GOLDBERG (MD) is 1134159064

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J. GOLDBERG (MD)
NPI
1134159064
Phone
(847) 570-1206
Address
2650 RIDGE AVE
Enumeration Date
4 July 2006
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8472903800
Graduation Year
1975 (51 years ago)
PAC ID
5092793083
Group Practice PAC ID
7214463041
Professional Enrollment ID
I20040707001211
Address ID
IL600161272DE150XXRDXX403

Contacts

Secure Messaging
mgoldberg9895@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

978 GASTROENTEROLOGY in IL

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Provider Addresses for MICHAEL J. GOLDBERG (MD)

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602011718

    Phone: (847) 570-1206

    Fax: (847) 570-1248

    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 39 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($198).

Total Amount

$829

General + Research + Ownership

Payments

39

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2004-07-07

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
I20040707001211IGastroenterologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito5151$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3231$0
45380Biopsy of large bowel using a flexible endoscope2626$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk2222$0
99213Established patient office or other outpatient visit, 20-29 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 7214463041View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineIL

Reviews

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Frequently asked questions

Is MICHAEL J. GOLDBERG (MD) listed with a National Provider Identifier?
Yes — MICHAEL J. GOLDBERG (MD) has NPI 1134159064 on file in the registry.
Is MICHAEL J. GOLDBERG (MD) still an active registrant?
MICHAEL J. GOLDBERG (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for MICHAEL J. GOLDBERG (MD)?
At a glance, MICHAEL J. GOLDBERG (MD) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is MICHAEL J. GOLDBERG (MD) registered?
Use Evanston, Illinois as the headline location for MICHAEL J. GOLDBERG (MD) here.
Can I trust this NPI listing for MICHAEL J. GOLDBERG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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