MR. ETAI GOLDENBERG MD NPI 1669663605

NPI Information

  • NPI: 1669663605
  • Provider Name: MR. ETAI GOLDENBERG, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12855 N. FORTY DR.
    STE 375
    ST. LOUIS, MO
    ZIP 63141
  • Phone: (314) 567-6071

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NPI Details

MR. Etai Goldenberg, MD is an urology in St. Louis, MO with 19 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MR. Etai Goldenberg, MD NPI is 1669663605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

12855 N. FORTY DR.
STE 375
ST. LOUIS, MO
ZIP 63141
Phone: (314) 567-6071

The NPI 1669663605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS:51728)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Injection procedure to cause erection (HCPCS:54235)
  • Injection procedure to cause erection (HCPCS:54235)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Insertion of multicomponent inflatable penile implant (HCPCS:54405)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)

The enumeration date for this NPI number is 8/6/2007 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology036133097ILLINOISNo
2208800000XUrology2013013914MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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