Individual provider Active NPI

Daniel Goodeill, D.O.

  • Family Medicine Physician
  • Broomfield, CO
National Provider Identifier
1184041584
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0059045 Issued in CO
Practice address
340 E 1St Ave Ste 101
Broomfield, CO 80020-2401
Phone
(303) 544-3800
Fax
(303) 544-3810
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 DR.0059045 CO Primary

Addresses

Primary practice location

340 E 1St Ave Ste 101
Broomfield, CO 80020-2401

Mailing address

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538-9071

Other practice location 1

1000 W South Boulder Rd Ste 110
Lafayette, CO 80026-2753
Phone (303) 415-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170822001682 CO Practitioner - Family Practice 2062707235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1190 US Hwy 287
Broomfield, CO 80020-7021
Phone (303) 544-3800

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

320 E Fontanero St
Suite 100 Uchealth Primary Care Fontanero
Colorado Springs, CO 80907-7535
Phone (719) 365-7420

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Uchealth Broomfield Hospital Hospital, Broomfield, CO, CCN 060129
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Aug 5, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Uchealth Community Services Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

1190 US Highway 287
Broomfield, CO 80020
Phone (303) 544-3800

340 E 1st Ave
Ste 101
Broomfield, CO 80020
Phone (303) 544-3800

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

1700 N Marion St
Denver, CO 80218
Phone (303) 830-6666

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

7000 E Belleview Ave
Ste 209
Greenwood Village, CO 80111
Phone (303) 850-9715

206 W County Line Rd
Ste 300
Highlands Ranch, CO 80129
Phone (303) 795-5980

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

9695 S Yosemite St
Ste 224
Lone Tree, CO 80124
Phone (303) 265-3970

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

19964 Hilltop Rd
Ste A
Parker, CO 80134
Phone (303) 841-2212

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1184041584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "address_2": "STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202401",
            "telephone_number": "303-544-3800",
            "fax_number": "303-544-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W South Boulder Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262753",
            "country_code": "US",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEILL",
        "first_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.