Individual provider Active NPI

Scott H Goodman, M.D.

  • Neurology Physician
  • Omaha, NE
National Provider Identifier
1265434443
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25150 Issued in NE
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7570195OtherMOCIGNA
32772027OtherMOBLUE SHIELD
209017508MedicaidMO
10025242300MedicaidNE
10001648902OtherMOCOMMUNITY HEALTH PLAN
7364484OtherMOAETNA
P00379248OtherMOMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090611000452 NE Practitioner - Neurology 2769584077 Reassigns benefits to 2 organizations
I20090923000532 IA Practitioner - Neurology 2769584077 Reassigns benefits to 1 organization

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
Neurology Consultants of Nebraska PCGroup PAC ID 4385685387, 7 clinicians

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

LicenseStateTypeSpecialty
38333IAMDNeurology Physician
0429835KSMDNeurology Physician
2002025632MOMDNeurology Physician
25150NEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Jul 19, 2021 Accepting new patients
Neurology Consultants of Nebraska PC Neurology CurrentSince Jul 1, 2009 Accepting new patients
Pain Centers of the Midlands LLC PastSince Mar 1, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.