Individual provider Active NPI

Amy Goodman, MMS, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1003206251
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5115 Centre Ave
Pittsburgh, PA 15232-1301
Phone
(412) 647-2811
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

5115 Centre Ave
Pittsburgh, PA 15232-1301

Mailing address

5115 Centre Ave FL 2
Pittsburgh, PA 15232-1301
Phone (412) 647-2811

Other practice location 1

9104 Babcock Blvd
St. 3111
Pittsburgh, PA 15237-5818
Phone (412) 366-2950

Other practice location 2

1500 5th Ave Rm 481
McKeesport, PA 15132-2422
Phone (412) 664-2807

Other identifiers 1

IdentifierTypeStateIssuer
MA057319OtherPALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHOSPITALS@upmcdirect.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406001051 PA Practitioner - Physician Assistant 8820316763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

300 Halket St
Pittsburgh, PA 15213-3108

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 29, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 29, 2017 Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 8, 2016 Accepting new patients
Upmc Community Medcine Inc CurrentSince Aug 8, 2016 Accepting new patients

Locations

1500 5th Ave
Rm 481
McKeesport, PA 15132
Phone (412) 664-2807

5115 Centre Ave
Pittsburgh, PA 15232
Phone (412) 235-1020

5115 Centre Ave
Fl 2
Pittsburgh, PA 15232
Phone (412) 623-3395

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1003206251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE FL 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-647-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-647-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9104 Babcock Blvd",
            "address_2": "St. 3111",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152375818",
            "country_code": "US",
            "telephone_number": "412-366-2950",
            "fax_number": "412-366-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 5th Ave Rm 481",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151322422",
            "country_code": "US",
            "telephone_number": "412-664-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "AMY",
        "credential": "MMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA057319",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHOSPITALS@upmcdirect.edu",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.