Individual provider Active NPI

Robert Steven Goodwin, MD

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1144335928
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D23081 Issued in MD
Practice address
6740 Alexander Bell Dr # 300
Columbia, MD 21046-2248
Phone
(410) 564-0000
Fax
(410) 564-0032
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D23081 MD Primary

Addresses

Primary practice location

6740 Alexander Bell Dr # 300
Columbia, MD 21046-2248

Mailing address

6740 Alexander Bell Dr # 300
Columbia, MD 21046-2248
Phone (410) 564-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120611000423 MD Practitioner - Family Practice 9436313095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

2850 N Ridge Rd
Suite 103
Ellicott City, MD 21043-3396
Phone (410) 465-8119

6740 Alexander Bell Dr
Columbia, MD 21046-2248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D23081MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Family Medicine CurrentSince Dec 31, 2012 Accepting new patients
Dr Goodwin & Associates, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

9650 Santiago Rd
Ste 109
Columbia, MD 21045
Phone (240) 732-1009

9650 Santiago Rd
Columbia, MD 21045
Phone (410) 343-9756

6740 Alexander Bell Dr
Ste 300
Columbia, MD 21046
Phone (410) 564-0000

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • Direct secure messaging: robert.goodwin@sah.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1144335928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR # 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000",
            "fax_number": "410-564-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR # 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000",
            "fax_number": "410-564-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D23081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.