DR. JAROSLAV ISAK GOLDMAN (M.D.) – Internal Medicine Physician, NPI 1639140403
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. JAROSLAV ISAK GOLDMAN (M.D.)
6420-6428, North California Avenue, Little India, West Ridge, Chicago, Rogers Park Township, Cook County, Illinois, 60659, United States
CHICAGO, IL 60645
Phone: (773) 973-6100
Fax: (773) 262-4882
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 44 Open Payments records for all available years, with a total value of $937.
Total Amount is formed as General ($937) + Research ($0) + Ownership ($0) = $937.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: ABBVIE INC. ($304).
Total Amount
$937
General + Research + Ownership
Payments
44
Total payment records
General Amount
$937
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-05-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070502000433 | I | Internal Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,513 | 524 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,146 | 502 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 463 | 463 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 424 | 284 | $0 |
| 81003 | Automated urinalysis test | 297 | 219 | $0 |
Insurance plans in this area (ZIP 60645)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 394 | 95 |
| INTERNAL MEDICINE | IL | 83036 | Hemoglobin A1C level | 998 | 497 |
| INTERNAL MEDICINE | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 917 | 173 |
| INTERNAL MEDICINE | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 802 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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