NPIMap

Individual provider Active NPI

Timothy Justin Goede, M.D.

  • Vascular & Interventional Radiology Physician
  • Gainesville, FL
National Provider Identifier
1316207202
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME135579 Issued in FL
Practice address
6716 NW 11TH PL Ste 200
Gainesville, FL 32605
Phone
(352) 331-9729
Fax
(352) 331-0136
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME135579 FL Primary

Addresses

Primary practice location

6716 NW 11TH PL Ste 200
Gainesville, FL 32605

Mailing address

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Other identifiers 4

IdentifierTypeStateIssuer
JK894OtherMEDICARE
NFZVZOtherFLBCBS
024778300MedicaidFL
JK893OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180813002475 FL Practitioner - Diagnostic Radiology 1759519887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Outpatient Imaging Center LTDGroup PAC ID 5991786410, 25 clinicians
Doctors Imaging Group LLCGroup PAC ID 3476457862, 24 clinicians
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians

Practice addresses (Care Compare)

6605 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-4703

6716 NW 11TH PL
Suite 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135579FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Imaging Group LLC Vascular & Interventional Radiology CurrentSince Jul 1, 2018 Accepting new patients
Doctors Radiology Group of Gainesville LLC Vascular & Interventional Radiology CurrentSince Jul 1, 2018 Accepting new patients
North Florida Outpatient Imaging Center LTD CurrentSince Jul 1, 2020 Accepting new patients

Locations

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

6685 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 331-8888

6605 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-4676

3140 NW Medical Center Ln
Ste 100
Lake City, FL 32055
Phone (386) 752-4004

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

Organizations & group practices 3

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 11

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1316207202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDE",
        "first_name": "TIMOTHY",
        "middle_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME135579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JK894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NFZVZ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024778300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JK893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.