Active NPI
Karl Richard Goodman, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 152700
- Practice address
- 2 W 86TH St
Suite # 6
New York, NY 10024-3666 - Phone
- (212) 769-4149
- Fax
- (212) 769-0416
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152700 | NY | Primary |
Addresses
Primary practice location
2 W 86TH St
Suite # 6
New York, NY 10024-3666
Mailing address
2 W 86TH St
Suite # 6
New York, NY 10024-3666
Phone (212) 769-4149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 523-6500
Hospital & facility affiliations
- Revival Home Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152700 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
2 W 86th St
Apt 6
New York, NY 10024
Phone (212) 769-4149
2 W 86th St
Ste 6
New York, NY 10024
Phone (212) 769-4149
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Internal Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Staten Island, NY
- NPI 1841233178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1235154303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 86TH ST",
"address_2": "SUITE # 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243666",
"telephone_number": "212-769-4149",
"fax_number": "212-769-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W 86TH ST",
"address_2": "SUITE # 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243666",
"telephone_number": "212-769-4149",
"fax_number": "212-769-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KARL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "152700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.