Individual provider Active NPI

Samantha Goodman, MD

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1154558781
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3629 Issued in TX
Practice address
3926 S Treadaway Blvd Ste B2
Abilene, TX 79602-6939
Phone
(325) 794-5421
Fax
(325) 794-5426
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P3629 TX Primary

Addresses

Primary practice location

3926 S Treadaway Blvd Ste B2
Abilene, TX 79602-6939

Mailing address

3929 South Treadway
Suite B2
Abilene, TX 79602-5409
Phone (325) 794-5421

Other names 1

  • Samantha Lynn Hirsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120803000779 TX Practitioner - Internal Medicine 8527214782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

5 Hospital Dr
Suite B
Abilene, TX 79606-5218
Phone (325) 794-5421

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hendrick Home Health Home health agency, Abilene, TX, CCN 457761
  • Kinder Hearts Home Health Home health agency, Abilene, TX, CCN 679193
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3629TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Aug 28, 2012 Accepting new patients
Quantum Hospital Medicine Services of Texas PA Internal Medicine CurrentSince May 24, 2019 Accepting new patients
Samantha H. Goodman, MD, PLLC Internal Medicine CurrentSince Dec 31, 2020 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Aug 28, 2012 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince May 24, 2019 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

3926 S Treadaway Blvd
Ste B-2
Abilene, TX 79602
Phone (325) 455-4287

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

1801 Hickory St
Abilene, TX 79601
Phone (325) 201-5990

5 Hospital Dr
Ste B
Abilene, TX 79606
Phone (325) 794-5421

Interoperability endpoints

  • Direct secure messaging: samantha.goodman.1@22760.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1154558781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 SOUTH TREADWAY",
            "address_2": "SUITE B2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796025409",
            "telephone_number": "325-794-5421",
            "fax_number": "325-794-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 S TREADAWAY BLVD STE B2",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796026939",
            "telephone_number": "325-794-5421",
            "fax_number": "325-794-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HIRSCH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.