Individual provider Active NPI

Michael Goodman, MD

  • Allergy & Immunology Physician
  • Westerville, OH
National Provider Identifier
1013229814
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35.121150 Issued in OH
Practice address
477 Cooper Rd Ste 480
Westerville, OH 43081-8095
Phone
(614) 823-7135
Fax
(614) 823-7137
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010017220 MO
Allergy & Immunology Physician 207K00000X 35.121150 OH Primary

Addresses

Primary practice location

477 Cooper Rd Ste 480
Westerville, OH 43081-8095

Mailing address

1810 Mackenzie Dr FL 2
Columbus, OH 43220-2967
Phone (614) 273-2250

Other identifiers 1

IdentifierTypeStateIssuer
0231560MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address beecherallergy@1047.direct.myezyaccess.com
Direct Messaging Address cooperallergy@1047.direct.myezyacces.com
Direct Messaging Address eastallergy@1047.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170721002103 OH Practitioner - Allergy/Immunology 4385914449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngologists IncGroup PAC ID 7719881960, 59 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 480
Westerville, OH 43081-8095
Phone (614) 823-7135

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
92.35
Promoting interoperability
88
Improvement activities
40
Cost
86.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.121150OHMDAllergy & Immunology Physician
2010017220MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngologists Inc Allergy & Immunology CurrentSince Jan 1, 2020 Accepting new patients
Trihealth G LLC Pediatrics CurrentSince Sep 1, 2017 Accepting new patients
Trihealth G, LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

7810 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 232-1253

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7991 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 346-3399

974 Bethel Rd
Ste C
Columbus, OH 43214
Phone (614) 538-2424

974 Bethel Rd
Ste A
Columbus, OH 43214
Phone (614) 538-2422

1810 Mackenzie Dr
Fl 2
Columbus, OH 43220
Phone (614) 273-2250

1810 Mackenzie Dr
Columbus, OH 43220
Phone (614) 273-2234

6573 E Broad St
Ste A
Columbus, OH 43213
Phone (614) 755-5151

801 Ohio Health Blvd
Ste 220
Delaware, OH 43015
Phone (740) 368-5588

6670 Perimeter Dr
Ste 270
Dublin, OH 43016
Phone (614) 766-4903

1110 Beecher Xing N
Ste C
Gahanna, OH 43230
Phone (614) 305-2091

5610 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 476-1112

2526 London Groveport Rd
Grove City, OH 43123
Phone (614) 273-2230

477 Cooper Rd
Ste 480
Westerville, OH 43081
Phone (614) 293-4238

Networks

  • KY PPO C-SNP
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO
  • KY PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • Direct secure messaging: eastallergy@1047.direct.myezyaccess.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1013229814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MACKENZIE DR FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202967",
            "telephone_number": "614-273-2250",
            "fax_number": "614-273-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 480",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818095",
            "telephone_number": "614-823-7135",
            "fax_number": "614-823-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010017220",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35.121150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231560",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beecherallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "1110 Beecher Xing N Ste C",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432304564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cooperallergy@1047.direct.myezyacces.com",
            "affiliation": "N",
            "address_1": "477 Cooper Rd Ste 480",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eastallergy@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "6573 E Broad St Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432131509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.