Individual provider Active NPI

Isaac Goodman, PA-C

  • Physician Assistant
  • Hyannis, MA
National Provider Identifier
1013929884
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2823 Issued in NH
Practice address
27 Park St
PHS Provider Enrollment
Hyannis, MA 02601
Phone
(508) 862-5981
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X ZS11047635M IN
Physician Assistant 363A00000X PA2016-0053 NM
Physician Assistant 363A00000X PA4312 MA
Physician Assistant 363A00000X 010886-1 NY
Physician Assistant 363A00000X 2823 NH Primary

Addresses

Primary practice location

27 Park St
PHS Provider Enrollment
Hyannis, MA 02601

Mailing address

27 Park St
PHS Provider Enrollment
Hyannis, MA 02601-6666
Phone (508) 862-5981

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241007003439 VT Practitioner - Physician Assistant 3870516248 Reassigns benefits to 5 organizations
I20250320001821 NH Practitioner - Physician Assistant 3870516248 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Alice Peck Day Memorial HospitalGroup PAC ID 6103737531, 132 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
84.29
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010886NYMDVeterinarian
2823NHMDPediatric Occupational Therapist
ZS11047635MINMDPhysician Assistant
010886-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 12, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 12, 2025 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 12, 2025 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 12, 2025 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Springfield Hospital Current Accepting new patients
Springfield Hospital .Inc CurrentSince Sep 10, 2024 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
St. Vincent'S Emergency Services PC Past Accepting new patients
Emergency Medical Metro P C Past Accepting new patients
Metro Emergency Medical Association PLLC Past Accepting new patients
Southside Emergency Associates Past Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients
Emergency Medicine Solutions, LLC Past Accepting new patients
Mary Hitchcock Memorial Hospital Past Accepting new patients

Locations

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

273 County Rd
New London, NH 03257
Phone (603) 526-5215

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: vrhigoodm@yourcarecommunity.org
  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1013929884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026016666",
            "telephone_number": "508-862-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-862-5981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ISAAC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "ZS11047635M",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2016-0053",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4312",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010886-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.