DR. KENNETH N GOLDBERG (MD) – Neuroradiology Physician, NPI 1265451603

DR. KENNETH N GOLDBERG (MD) is a healthcare provider. based in Evanston, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. The NPI Number for DR. KENNETH N GOLDBERG (MD) is 1265451603

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH N GOLDBERG (MD)
NPI
1265451603
Phone
(847) 570-2487
Address
2650 RIDGE AVE
Enumeration Date
18 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4803066949
Graduation Year
1986 (40 years ago)
PAC ID
7315975059
Group Practice PAC ID
6608036108
Professional Enrollment ID
I20050803000046
Address ID
IL600623004NO3846XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DR. KENNETH N GOLDBERG (MD)

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

    DEPARTMENT OF RADIOLOGY, G507

    EVANSTON, IL 602011718

    Phone: (847) 570-2487

    Fax: (847) 570-2942

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-08-03

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
I20050803000046IDiagnostic RadiologyILTBD

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
72148Mri scan of lower spinal canal without contrast8787$0
70553Mri scan of brain before and after contrast5353$0
72141Mri scan of upper spinal canal without contrast4242$0
70551Mri scan of brain without contrast3232$0
763773d radiographic procedure with computerized image postprocessing2626$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: 6608036108View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyFL
-FL
Diagnostic RadiologyCA
Diagnostic RadiologyNY
-NV
-FL
Diagnostic RadiologyLA
Diagnostic RadiologyGA
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

How is DR. KENNETH N GOLDBERG (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KENNETH N GOLDBERG (MD) with NPI 1265451603.
Does CMS list DR. KENNETH N GOLDBERG (MD) as active?
Yes — DR. KENNETH N GOLDBERG (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KENNETH N GOLDBERG (MD)?
For research purposes, treat DR. KENNETH N GOLDBERG (MD) as Neuroradiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KENNETH N GOLDBERG (MD) serve?
DR. KENNETH N GOLDBERG (MD)'s listing highlights Evanston, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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