Active NPI
Richard M Goodman, MD
- Pulmonary Disease Physician
- Aventura, FL
National Provider Identifier
1164411799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME21487
- Practice address
- 21110 Biscayne Blvd
Suite 303
Aventura, FL 33180-1227 - Phone
- (305) 466-0030
- Fax
- (305) 466-4755
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME21487 | FL | Primary |
Addresses
Primary practice location
21110 Biscayne Blvd
Suite 303
Aventura, FL 33180-1227
Mailing address
21110 Biscayne Blvd
Suite 303
Aventura, FL 33180-1227
Phone (305) 466-0030
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 591322663A | Other | HUMANA | |
| 92713 | Other | HEALTH OPTIONS | |
| 058731100 | Medicaid | FL | |
| 5487107 | Other | FIRST HEATLH | |
| 92713 | Other | BLUE CROSS BLUE SHIELD | |
| 408111337 | Other | MEDICARE RAILROAD | |
| 2045636 | Other | AETNA | |
| 20544 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 1117963 | Other | CIGNA |
Other names 1
- Dr. Richard M Goodman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1164411799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 303",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-466-0030",
"fax_number": "305-466-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 303",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-466-0030",
"fax_number": "305-466-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME21487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "591322663A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH OPTIONS",
"identifier": "92713",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058731100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEATLH",
"identifier": "5487107",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "92713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "408111337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2045636",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "20544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1117963",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "GOODMAN",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.