Adam Matthew Goodwin, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-36492 Issued in KS

Practice address

14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630

Phone

(316) 274-9450

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Wichita, KS, CCN 177117
• Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
• Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
• Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment Care Compare group NPD
• Ascension Medical Group Via Christi, PA

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1013374990
  NPD
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Medical Group Via Christi, PA

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1073523452
  NPD (past)

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

• Ascension Via Christi Hospital St Teresa Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1023334950
  Care Compare affiliation
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Ascension Via Christi Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Wichita, KS
  • NPI 1083604789

  Inpatient rehabilitation facility

  Care Compare affiliation
• Interim Health Care of Wichita Inc

  • Home Health Agency
  • Wichita, KS
  • NPI 1548264229
  Care Compare affiliation
• Proactive Home Care, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1013979905
  Care Compare affiliation
• Via Christi Home Health Wichita, LLC

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1376854059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 W SAINT TERESA ST STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359630",
            "telephone_number": "316-274-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-36492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201078150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hewitt C Goodpasture, MD
• Linda M Goodson, DO
• Sally Lynne Goodson, R.PH.
• Goodwill Industries Easter Seals of KS, Inc.
• Myreik Goodwin-Lagree
• Shannon Dannielle Goodwin, LMSW, AAPS
• Heidi Goolsby, AAPS
• Praveena Gorantla, M.D
• Saritha Gorantla, M.D.
• Suman Gorantla, DMD

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.