Susan Pamela Goode, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

62272 Issued in AZ

Practice address

535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683

Phone

(520) 694-5437

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pediatric MedicineAlso: Gastroenterology

Education

State University of New York Downstate Medical Center, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Children'S Clinics for Rehabilitative ServicesGroup PAC ID 2264503408, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children'S Clinics for Rehabilitative Services

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1063454346
  Medicare reassignment Care Compare group NPD
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427

  Family Medicine

  Medicare reassignment NPD
• Banner-University Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1922820935
  NPD
• Reddy Gi Associates

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1508399544
  NPD
• Central Arizona Gi & Liver Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Gilbert, AZ
  • NPI 1164871075
  NPD (past)
• Clinical Associates in Internal Medicine, LTD

  • Specialist
  • Phoenix, AZ
  • NPI 1073794566
  NPD (past)
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1255354593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 E RAFAEL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852124196",
            "telephone_number": "347-327-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112683",
            "telephone_number": "520-694-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 N La Cholla Blvd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413556",
            "country_code": "US",
            "telephone_number": "520-694-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N Wyatt Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126106",
            "country_code": "US",
            "telephone_number": "520-324-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SUSAN",
        "middle_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AZ",
            "license": "62272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088885",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110077405A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201060510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Medicene Homes LLC
• Andrew G Good, DO
• Jennifer Rose Good, MD
• Robert Brian Good, M.D.
• Joel R Goode, M.D.
• Kathleen Gooden Gooden
• Michael Allen Gooden, MD
• Geralda B Goodin, FNP-C
• Rachel Goodin, PHARMD
• Gens Pierce Goodman, D.O.

• Pediatric Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.