Individual provider Active NPI

Thomas W Goodlive, MD

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1033186960
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-073322 Issued in OH
Practice address
3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-3467
Phone
(614) 262-6772
Fax
(614) 262-7074
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-073322 OH Primary

Addresses

Primary practice location

3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-3467

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259

Other identifiers 1

IdentifierTypeStateIssuer
2102192MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgoodlive33749@direct.ohiohealth.com OhioHealth Physician Group

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
I20070719000246 OH Practitioner - Cardiovascular Disease (Cardiology) 9638180987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Toledo College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-3467
Phone (614) 262-6722

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-073322OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 28, 2008 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 28, 2008 Accepting new patients
Ohiohealth Corporation Cardiovascular Disease Current Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northern Kentucky Heart PSC Cardiovascular Disease Past Accepting new patients

Locations

75 Hospital Dr
Ste 330
Athens, OH 45701
Phone (740) 566-4565

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

3535 Olentangy River Rd
Ste 401
Columbus, OH 43214

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5350 Frantz Rd
Dublin, OH 43016

3535 Fishinger Blvd
Ste 285
Hilliard, OH 43026
Phone (614) 527-2562

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

Organizations & group practices 7

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1033186960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-262-6772",
            "fax_number": "614-262-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLIVE",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-073322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102192",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgoodlive33749@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "3705 Olentangy River Rd",
            "address_2": "Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.