Individual provider Active NPI

Brian S. Goodman, M.D.

  • Vascular & Interventional Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1063702082
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD459773 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-3131
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD459773 PA
Vascular & Interventional Radiology Physician 2085R0204X MD459773 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-8743

Other identifiers 1

IdentifierTypeStateIssuer
103240729MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgoodmanfellow97646@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210727003355 NY Practitioner - Interventional Radiology 0648552471 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Apr 12, 2022 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Apr 12, 2022 Accepting new patients
Radiology Associates of Brooklyn, LLP CurrentSince Mar 1, 2024 Accepting new patients
Radiologic Associates Prof Corp Diagnostic Radiology CurrentSince Mar 14, 2022 Accepting new patients
Ulster Radiologic Associates, PC CurrentSince Mar 14, 2022 Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Sep 24, 2024 Accepting new patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
White Plains Physician Services PC CurrentSince Sep 24, 2024 Accepting new patients
Ramapo Imaging Associates, P.C. Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
West Hudson Imaging Associates, PLLC Diagnostic Radiology CurrentSince Mar 14, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
River Radiology PLLC Diagnostic Radiology Past Accepting new patients

Locations

19-04 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (518) 417-2474

6511 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (718) 491-4545

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

1001 New Loudon Rd
Cohoes, NY 12047
Phone (412) 445-7402

19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368

11203 Queens Blvd
Ste 211
Forest Hills, NY 11375
Phone (646) 660-0690

141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

175 Memorial Hwy
Ste LL14
New Rochelle, NY 10801
Phone (914) 633-7700

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848

255 Lafayette Ave
#H
Suffern, NY 10901
Phone (845) 357-3356

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

320 E North Ave
Ste G70
Pittsburgh, PA 15212

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
  • Direct secure messaging: bgoodmanfellow97646@direct.ahn.org

Organizations & group practices 15

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 15

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1063702082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-8743",
            "fax_number": "412-359-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRIAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD459773",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD459773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103240729",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgoodmanfellow97646@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.