Individual provider Active NPI

Jonathan Brett Goodloe, MD

  • Orthopaedic Surgery Physician
  • Richmond, VA
National Provider Identifier
1053841916
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101278679 Issued in VA
Practice address
1001 E Leigh St
Richmond, VA 23298-5004
Phone
(804) 828-7069
Fax
(804) 828-4762
NPI assigned
Jun 14, 2017
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X LL41020 SC
Orthopaedic Surgery Physician 207X00000X 0101278679 VA Primary

Addresses

Primary practice location

1001 E Leigh St
Richmond, VA 23298-5004

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6557

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-7069

Other practice location 3

13048 Rivers Bend Rd
Chester, VA 23836-2564
Phone (804) 526-5888

Other practice location 4

325 Charles Dimmock Parkway
# 100
Colonial Heights, VA 23834-2986
Phone (804) 526-5888

Other practice location 5

131 Jennick Dr
Colonial Heights, VA 23834-4905
Phone (804) 526-5888

Other practice location 6

1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-7069

Other practice location 7

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-6282

Other practice location 8

300 Mt Clement Park Ste B
Tappahannock, VA 22560-5098
Phone (804) 443-8670

Other practice location 9

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945

Other practice location 10

332 N Henry St
Williamsburg, VA 23185-4117
Phone (757) 220-1246

Other practice location 11

1300 W Broad St Ste 113
Richmond, VA 23284-9058
Phone (804) 828-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231108002508 VA Practitioner - Orthopedic SurgeryPractitioner - Oral Surgery 3678849536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101278679VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Orthopaedic Surgery CurrentSince Sep 24, 2023 Accepting new patients

Locations

13048 Rivers Bend Rd
Chester, VA 23836
Phone (804) 530-0300

325 Charles H Dimmock Pkwy
Ste 100
Colonial Heights, VA 23834
Phone (804) 524-4077

131 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 562-5888

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

300 Mt Clement Park
Ste B
Tappahannock, VA 22560
Phone (804) 443-8670

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

Organizations & group practices 1

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.

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1053841916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E LEIGH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985004",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-364-6557",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13048 Rivers Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238362564",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Charles Dimmock Parkway",
            "address_2": "# 100",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342986",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Jennick Dr",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238344905",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-443-6282",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste B",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-8670",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-560-8945",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 N Henry St",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231854117",
            "country_code": "US",
            "telephone_number": "757-220-1246",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Broad St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849058",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-828-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODLOE",
        "first_name": "JONATHAN",
        "middle_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "LL41020",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101278679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.