Organization Active NPI

Samantha H. Goodman, MD, PLLC

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1295334936
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAMANTHA H. GOODMAN, MD, PLLC
Practice address
5 Hospital Drive
Suite B
Abilene, TX 79606-5269
Phone
(325) 794-5421
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Dr. Samantha H Goodman, MDNPI 1154558781
Title
Physician/Owner
Phone
(325) 794-5421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5 Hospital Drive
Suite B
Abilene, TX 79606-5269

Mailing address

5 Hospital Drive
Suite B
Abilene, TX 79606-5269
Phone (325) 794-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127001003 TX Part B Supplier - Clinic/Group Practice 8921412370 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2204897Samantha H Goodman, MD PLLC5 Hospital Dr Suite B, Abilene, TX 79606Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory

Locations

5 Hospital Dr
Ste B
Abilene, TX 79606
Phone (325) 794-5421

5 Hospital Dr
Abilene, TX 79606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1295334936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOSPITAL DRIVE",
            "address_2": "SUITE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-794-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOSPITAL DRIVE",
            "address_2": "SUITE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065269",
            "telephone_number": "325-794-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA H. GOODMAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-01-02",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "325-794-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.