Active NPI
Scott H Goodman, M.D.
- Neurology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25150
- Practice address
- 4242 Farnam St
Suite 500
Omaha, NE 68131-2806 - Phone
- (402) 552-2650
- Fax
- (402) 552-2655
- NPI assigned
- Jun 1, 2005
- Last updated
- Dec 20, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0429835 | KS | |
| Neurology Physician | 2084N0400X | 2002025632 | MO | |
| Neurology Physician | 2084N0400X | 25150 | NE | Primary |
| Neurology Physician | 2084N0400X | 38333 | IA |
Addresses
Primary practice location
4242 Farnam St
Suite 500
Omaha, NE 68131-2806
Mailing address
4242 Farnam St
Suite 500
Omaha, NE 68131-2806
Phone (402) 552-2650
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7570195 | Other | MO | CIGNA |
| 32772027 | Other | MO | BLUE SHIELD |
| 209017508 | Medicaid | MO | |
| 10025242300 | Medicaid | NE | |
| 10001648902 | Other | MO | COMMUNITY HEALTH PLAN |
| 7364484 | Other | MO | AETNA |
| P00379248 | Other | MO | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Mayo Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11336 S 96TH St
Suite 111
Papillion, NE 68046-4211
Phone (531) 867-7317
13340 California St
Suite 201
Omaha, NE 68154-5255
Phone (531) 999-2670
2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3000
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230
4350 Dewey Ave
Omaha, NE 68198-1586
Phone (402) 552-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38333 | IA | MD | Neurology Physician |
| 0429835 | KS | MD | Neurology Physician |
| 2002025632 | MO | MD | Neurology Physician |
| 25150 | NE | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Think Aksarben, LLC | Current | Accepting new patients | |
| Neurology Consultants of Nebraska PC | Neurology | Current | Accepting new patients |
| Pain Centers of the Midlands LLC | Past | Accepting new patients | |
| Northland Neurological Associates, P.C. | Neurology | Past | Accepting new patients |
| The Headache & Pain Center, P. a. | Past | Accepting new patients |
Locations
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone (402) 763-3000
810 N 22nd St
#H
Blair, NE 68008
Phone (402) 426-2182
13340 California St
Ste 201
Omaha, NE 68154
Phone (402) 614-1999
4242 Farnam St
Ste 500
Omaha, NE 68131
Phone (402) 552-2650
4350 Dewey Ave
Omaha, NE 68105
Phone (402) 552-2552
7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000
11336 S 96th St
Ste 111
Papillion, NE 68046
Phone (531) 867-7317
Interoperability endpoints
- https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Think Whole Person Healthcare
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1316357676
-
dba Omaha Pain Physicians
- Pain Medicine (Anesthesiology) Physician
- Omaha, NE
- NPI 1750759361
-
- Neurology Physician
- North Kansas City, MO
- NPI 1972540524
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1972570414
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bellevue Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- Critical Access Hospital
- Clarinda, IA
- NPI 1366486946
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1265434443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 500",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-2650",
"fax_number": "402-552-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 500",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-2650",
"fax_number": "402-552-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "SCOTT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "0429835",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2002025632",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "25150",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "38333",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7570195",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "32772027",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209017508",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025242300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001648902",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7364484",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00379248",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.