Individual provider Active NPI

Susan A. Gootnick, M.D.

  • Diagnostic Radiology Physician
  • Kentfield, CA
National Provider Identifier
1386714905
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G23580 Issued in CA
Practice address
329 Goodhill Rd
Kentfield, CA 94904-2611
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Nov 9, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036157153 IL
Diagnostic Radiology Physician 2085R0202X G23580 CA Primary

Addresses

Primary practice location

329 Goodhill Rd
Kentfield, CA 94904-2611

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070815000646 CA Practitioner - Diagnostic Radiology 3870685225 Reassigns benefits to 12 organizations
I20110907000794 GA Practitioner - Diagnostic Radiology 3870685225 Reassigns benefits to 4 organizations
I20250827000193 FL Practitioner - Diagnostic Radiology 3870685225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebrite Hospital Group of Early LLCGroup PAC ID 7810263589, shared by 6 NPIs, 9 clinicians
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

Practice addresses (Care Compare)

11045 Columbia St
Blakely, GA 39823-3447
Phone (229) 723-4313

11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-4282

135 Ave G
Apalachicola, FL 32320-1613
Phone (850) 653-8853

329 Goodhill Rd
Kentfield, CA 94904-2611
Phone (407) 738-4085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157153ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology CurrentSince Mar 30, 2023 Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince Jun 16, 2025 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Dec 28, 2025 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 27, 2018 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 13, 2023 Accepting new patients
Lifebrite Hospital Group of Early LLC Current Accepting new patients
Radiology and Nuclear Medicine LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Vesta Telemedicine Solutions, PC Diagnostic Radiology CurrentSince Feb 4, 2022 Accepting new patients
St. Helena Hospital CurrentSince Jun 1, 2023 Accepting new patients
Donalsonville Hospital Inc CurrentSince Jul 25, 2011 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Jul 5, 2023 Accepting new patients
Franklin County Board of County Commissioners CurrentSince Jun 7, 2025 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
St. Helena Hospital CurrentSince Jun 1, 2023 Accepting new patients
Clinch County Hospital Authority CurrentSince May 1, 2016 Accepting new patients
Mayers Memorial Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Lifebrite Hospital Group of Early LLC Current Accepting new patients
MRI Imaging Center of Fresno, Inc CurrentSince Dec 28, 2022 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince Feb 7, 2024 Accepting new patients
Norcal Imaging Diagnostic Radiology Past Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients
Early Memorial Hospital Past Accepting new patients
Marin General Hospital Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

2500 Mowry Ave
Fremont, CA 94538
Phone (510) 791-3410

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100

26522 La Alameda
Ste 280
Mission Viejo, CA 92691
Phone (949) 643-3345

35 Executive Ct
Napa, CA 94558
Phone (602) 432-8051

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1800 N California St
Ste 1
Stockton, CA 95204
Phone (209) 467-6316

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

11045 Columbia St
Blakely, GA 39823
Phone (228) 723-4313

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1386714905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 GOODHILL RD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042611",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOTNICK",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157153",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G23580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.