Individual provider Active NPI

Allan L Goodman, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1154498244
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35626 Issued in AZ
Practice address
7304 E Deer Valley Rd
Suite 105
Scottsdale, AZ 85255-7450
Phone
(480) 264-2400
Fax
(480) 264-2410
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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 036057113 IL
Diagnostic Radiology Physician 2085R0202X 35626 AZ Primary

Addresses

Primary practice location

7304 E Deer Valley Rd
Suite 105
Scottsdale, AZ 85255-7450

Mailing address

PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000

Other identifiers 3

IdentifierTypeStateIssuer
036057113MedicaidIL
415248MedicaidAZ
4923631OtherILBCBS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090421000682 AZ Practitioner - Diagnostic Radiology 9335109966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

21115 E Rittenhouse Rd
Simonmed Imaging Rittenhouse
Queen Creek, AZ 85142-4838
Phone (480) 371-3491

2620 N 3Rd St
Phoenix, AZ 85004-1153

2680 S Val Vista Dr
135 Simonmed Imaging Spectrum
Gilbert, AZ 85295-1621
Phone (480) 584-4900

2830 N 3Rd St
Simonmed Imaging Thomas
Phoenix, AZ 85004-1042
Phone (602) 200-1750

3033 N Windsong Dr
102 Simonmed Imaging Prescott Valley
Prescott Valley, AZ 86314-2296
Phone (928) 772-5250

310 N Wilmot Rd
302 Simonmed Imaging Wilmot
Tucson, AZ 85711-2628
Phone (520) 449-8001

3618 W Anthem Way
D104 Simonmed Imaging Anthem
Anthem, AZ 85086-0458
Phone (623) 879-3740

36297 N Gantzel Rd
101 Simonmed Imaging Queen Creek
Queen Creek, AZ 85140-7324
Phone (480) 809-4400

4219 E Bell Rd
Simonmed Imaging Paradise Valley
Phoenix, AZ 85032-3366
Phone (480) 584-5525

44555 W Edison Rd
Simonmed Imaging Maricopa
Maricopa, AZ 85138-6409
Phone (520) 666-7960

5410 W Thunderbird Rd
Glendale, AZ 85306-4711

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036057113ILMDDiagnostic Radiology Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Northeast Radiology Associates, S.C. Past Accepting new patients

Locations (25 of 29)

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

13657 W McDowell Rd
Ste 207
Goodyear, AZ 85395
Phone (602) 815-5358

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

3201 W Peoria Ave
Ste B402
Phoenix, AZ 85029
Phone (602) 688-6120

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

3201 W Peoria Ave
Ste B301
Phoenix, AZ 85029
Phone (602) 688-6120

20830 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 306-7900

4616 N 51st Ave
Ste 104
Phoenix, AZ 85031
Phone (623) 251-2800

9201 E Mountain View Rd
Ste 112
Scottsdale, AZ 85258
Phone (480) 584-6800

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1154498244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 E DEER VALLEY RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557450",
            "telephone_number": "480-264-2400",
            "fax_number": "480-264-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ALLAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036057113",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "35626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057113",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415248",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "4923631",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.