Active NPI
Pamela Pineda Goodell, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036.128458
- Practice address
- 221 NE Glen Oak Ave
Department of Pathology
Peoria, IL 61636-0001 - Phone
- (309) 672-4964
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 228357 | MA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD439244 | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.128458 | IL | Primary |
Addresses
Primary practice location
221 NE Glen Oak Ave
Department of Pathology
Peoria, IL 61636-0001
Mailing address
PO Box 60070
N Charleston, SC 29419-0070
Phone (866) 759-4528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03612845801 | Medicaid | IL | |
| P00971579 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Minnesota Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Hospital & facility affiliations
- Aspirus Rhinelander Hospital
- Aspirus Riverview Hospital & Clinics Inc
- Aspirus Stevens Point Hospital & Clinics, Inc.
- Aspirus Stanley Hospital
- Howard Young Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.15 of 100
- Quality
- 73.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.128458 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 228357 | MA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Emergency Medicine Physician
- Eagle River, WI
- NPI 1699728915
-
- Medicare Defined Swing Bed Hospital Unit
- Merrill, WI
- NPI 1407096266
-
- General Practice Physician
- Rhinelander, WI
- NPI 1548628100
-
- Rural Health Clinic/Center
- Nekoosa, WI
- NPI 1104284512
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Rhinelander, WI
- NPI 1598420218
Hospital
-
- Clinic/Center
- Plover, WI
- NPI 1053080168
Hospital
-
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1306515671
Hospital
-
- Clinic/Center
- Amherst, WI
- NPI 1316616428
Hospital
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
Hospital
-
- Family Medicine Physician
- Stevens Point, WI
- NPI 1336818608
Hospital
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Rhinelander, WI
- NPI 1548628100
Hospital
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
Hospital
-
- Clinic/Center
- Iola, WI
- NPI 1578232849
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1154580447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60070",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294190070",
"telephone_number": "866-759-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-672-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "PAMELA",
"middle_name": "PINEDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "228357",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD439244",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.128458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03612845801",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00971579",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.