Jeffrey Goodsell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

61787 Issued in CT

Practice address

148 Oak St
Glastonbury, CT 06033-2318

Phone

(860) 351-7401

Fax

(833) 973-6047

NPI assigned

Jun 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Virginia School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.goodsell.1@33273.direct.athenahealth.com
• FHIR API: https://epicproxy.et1124.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: jeffrey.goodsell.npi1003296914.phpct@direct.optumcare.masshiway.net

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

• Jeffrey Goodsell MD PLLC

  dba Fireside Primary Care

  • Family Medicine Physician
  • Glastonbury, CT
  • NPI 1962202291
  Medicare reassignment NPD Authorized official
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1003296914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332318",
            "telephone_number": "860-351-7401",
            "fax_number": "833-973-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332318",
            "telephone_number": "860-351-7401",
            "fax_number": "833-973-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Killingworth Rd",
            "address_purpose": "LOCATION",
            "city": "Higganum",
            "state": "CT",
            "postal_code": "064414370",
            "country_code": "US",
            "telephone_number": "860-345-8535",
            "fax_number": "860-345-8678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 High St",
            "address_2": "Suite 4001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013102",
            "country_code": "US",
            "telephone_number": "570-321-2345",
            "fax_number": "570-321-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODSELL",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT209559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "61787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Volunteer Ambulance Association Inc
• Richard Dennis Glisson, D.O.
• Gloria Annitto Olgas Lingerie (Gloria Annitto)
• Camila E Gonzalez Ribadeneira, PHARMD
• Marisa Gonzalez, BCBA,LBA
• Googe Wheelchair & Livery Service, Inc
• Laura M Gordon
• Nori Gordon, PSY. D.
• Debbie Marie Gould, FNP, APRN
• Katelynn Blair Grabowski, MS, LPC

• Family Medicine Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.