Individual provider Active NPI

David S Goodwin, M.D.

  • Orthopaedic Surgery Physician
  • Chantilly, VA
National Provider Identifier
1346565884
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101260025 Issued in VA
Practice address
25055 Riding PLZ
Ste 260
Chantilly, VA 20152-5917
Phone
(703) 272-5000
Fax
(703) 957-3804
NPI assigned
Mar 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101260025 VA Primary

Addresses

Primary practice location

25055 Riding PLZ
Ste 260
Chantilly, VA 20152-5917

Mailing address

21475 Ridgetop Cir
Ste 150
Sterling, VA 20166-6580
Phone (703) 444-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.goodwin.p1@direct.tsiva.nextgenshare.com Health Information Exchange (HIE) ARTHRITIS & SPORTS ORTHOPAEDICS PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20160620000297 VA Practitioner - Orthopedic Surgery 8628376613 Reassigns benefits to 1 organization
I20160705001466 DC Practitioner - Orthopedic Surgery 8628376613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Sports Orthopaedics PCGroup PAC ID 7618866476, 23 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

21475 Ridgetop Cir
Sterling, VA 20166-6580
Phone 7034445000117

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Encompass Health Rehab Hospital of Northern VA Inpatient rehabilitation facility, Aldie, VA, CCN 493033

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101260025VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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 3

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": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1346565884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "STE 150",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-444-5000",
            "fax_number": "703-444-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 RIDING PLZ",
            "address_2": "STE 260",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525917",
            "telephone_number": "703-272-5000",
            "fax_number": "703-957-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101260025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.goodwin.p1@direct.tsiva.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Nextgen email address",
            "affiliationName": "ARTHRITIS & SPORTS ORTHOPAEDICS PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "25055 Riding Plz",
            "address_2": "Ste 260",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201525917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.