NPIMap

Individual provider Active NPI

Diana Jeanne Goodman, MD

  • Neurology Physician
  • Scarborough, ME
National Provider Identifier
1245457514
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD20895 Issued in ME
Practice address
49 Spring St
Scarborough, ME 04074-8926
Phone
(207) 883-1414
Fax
(207) 883-1010
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X LP01025 RI
Neurology Physician 2084N0400X MD439848 PA
Neurology Physician 2084N0400X MD 34440 SC
Neurology Physician 2084N0400X 036.134858 IL
Neurology Physician 2084N0400X MD20895 ME Primary

Addresses

Primary practice location

49 Spring St
Scarborough, ME 04074-8926

Mailing address

300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
Phone (207) 661-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000382 ME Practitioner - Neurology 7113182866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.134858ILMDNeurology Physician
MD439848PAMDNeurology Physician
LP01025RIMDNeurology Physician
MD 34440SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 1, 2016 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Feb 1, 2016 Accepting new patients
Mainehealth Current Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 6, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 6, 2016 Accepting new patients
Maine Medical Partners Neurology CurrentSince Feb 1, 2016 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Feb 1, 2016 Accepting new patients
Mainehealth CurrentSince Feb 1, 2016 Accepting new patients
Mainehealth Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

49 Spring St
#2
Scarborough, ME 04074
Phone (207) 883-1414

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143

300 Southborough Dr
Ste 201
South Portland, ME 04106
Phone (207) 661-2000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: dgoodman131814@direct.mmc.mainehealth.org

Organizations & group practices 11

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1245457514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHBOROUGH DR",
            "address_2": "SUITE 201",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066914",
            "telephone_number": "207-661-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SPRING ST",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-883-1414",
            "fax_number": "207-883-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DIANA",
        "middle_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "LP01025",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD439848",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "MD 34440",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.134858",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD20895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.