Finding reliable healthcare providers and accessing accurate information about them is crucial for patients and professionals alike. One way to identify and verify healthcare practitioners in the United States is through the National Provider Identifier (NPI) system. Dr. Ilene Goldman, MD, is a licensed medical professional whose credentials and practice details can be verified using her NPI number. Understanding what an NPI number is, how it works, and how it relates to healthcare providers like Dr. Goldman is essential for anyone navigating the medical system, scheduling appointments, or researching provider information for insurance purposes.
What is an NPI Number?
The National Provider Identifier, or NPI, is a unique 10-digit identification number assigned to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). This number is used to simplify and standardize the identification of providers across all electronic health transactions. Unlike other identifiers, an NPI does not change when a provider moves, changes names, or switches employers, making it a reliable tool for both patients and organizations that need to track medical services accurately.
Purpose and Benefits of an NPI
The NPI system offers multiple benefits for patients, providers, and healthcare organizations. For patients, it ensures that information about medical providers is accurate and verifiable. For providers like Dr. Ilene Goldman, having an NPI number facilitates billing and reimbursement processes with insurance companies, including Medicare and Medicaid. Healthcare organizations also benefit from the NPI system as it streamlines electronic data exchange and reduces errors caused by multiple provider identifiers.
Dr. Ilene Goldman, MD
Dr. Ilene Goldman is a licensed medical doctor practicing in the United States. Her professional profile can be accessed using her NPI number, which provides verified information about her qualifications, specialties, and practice locations. Patients seeking care from Dr. Goldman can use her NPI to confirm her credentials, verify her specialties, and ensure she is authorized to provide medical services under federal guidelines. Accessing her NPI number can also assist insurance providers in processing claims accurately and efficiently.
Using the NPI to Verify Credentials
Verifying a healthcare provider’s credentials is important for ensuring safe and effective medical care. By searching for Dr. Ilene Goldman’s NPI number in the NPI Registry, patients can confirm her licensure status, practice location, and primary medical specialty. The registry also provides information about secondary specialties and other professional details that may be relevant to patients seeking specialized care. This verification process builds trust between patients and healthcare providers and helps avoid potential errors or misrepresentation of qualifications.
Locating Dr. Goldman’s Practice Information
Alongside the NPI number, the NPI Registry often provides details about a provider’s practice location, phone number, and type of services offered. For Dr. Ilene Goldman, this means patients can identify where she practices, schedule appointments, and understand the scope of her medical services. Knowing her practice address and contact information is particularly useful for new patients or those transferring medical records, ensuring seamless communication and efficient care delivery.
How NPI Numbers Improve Healthcare Administration
NPI numbers play a key role in improving healthcare administration by standardizing provider identification across multiple systems. Insurance companies, hospitals, and electronic health record systems all use NPI numbers to track medical services, streamline claims processing, and reduce administrative errors. For providers like Dr. Goldman, an NPI ensures that her professional activities are consistently recognized across different platforms, enabling smoother interactions with insurers and healthcare networks.
Billing and Reimbursement
One of the most significant advantages of having an NPI number is its role in billing and reimbursement. When Dr. Ilene Goldman submits claims for medical services, her NPI number ensures that the insurance company accurately attributes the service to her. This reduces the risk of claim denials, delays in payment, or confusion over which provider rendered care. For patients, this translates to faster claim processing and fewer issues with coverage.
Reducing Errors in Medical Records
The NPI system helps minimize errors in medical records by providing a consistent and verifiable identifier for each provider. This is especially important in large healthcare systems where multiple providers may have similar names. By using Dr. Goldman’s NPI number, hospitals, clinics, and insurance companies can accurately link her services to the correct patient records, reducing the likelihood of mistakes and improving the quality of care.
How to Access an NPI Number
Patients and healthcare professionals can easily access a provider’s NPI number through the NPI Registry, an online database maintained by the Centers for Medicare & Medicaid Services. The registry allows searches by name, location, or specialty. Once Dr. Ilene Goldman’s NPI number is located, users can view detailed information about her medical practice, licensure, and specialties. This transparency is critical for building confidence in healthcare services and ensuring informed decision-making.
Steps to Search for an NPI Number
- Visit the official NPI Registry website.
- Enter the provider’s name or location in the search fields.
- Filter results by specialty if needed.
- Review the provider’s detailed profile, including NPI number, practice location, and credentials.
- Use the NPI number for verification, insurance claims, or record-keeping purposes.
Importance for Patients and Providers
For patients, knowing a provider’s NPI number offers peace of mind, ensuring that the professional they choose is licensed and verified. For providers like Dr. Goldman, it ensures proper recognition of their services, accurate billing, and compliance with federal regulations. The NPI number also supports broader efforts to maintain high standards of healthcare quality and patient safety.
Dr. Ilene Goldman, MD, and her NPI number represent an essential link between patients, healthcare providers, and insurance systems. Understanding how to access and use this information is valuable for anyone seeking medical services, verifying credentials, or managing healthcare records. The NPI system streamlines identification, enhances accuracy in medical documentation, and supports effective healthcare administration. By leveraging this system, patients can ensure they receive care from verified professionals, while providers benefit from improved efficiency and clarity in their professional activities. Overall, the NPI number serves as a vital tool in modern healthcare, promoting transparency, reliability, and trust in medical services.
Whether you are a patient, a healthcare professional, or an insurance representative, understanding the role of NPI numbers and using them to access verified provider information is crucial. Dr. Ilene Goldman’s NPI number exemplifies how these identifiers enhance accountability, streamline administrative processes, and ensure that medical care is delivered safely and efficiently. In a complex healthcare system, such tools are invaluable for maintaining quality and fostering confidence among all stakeholders.