Individual provider Active NPI

Alexander Goodwin, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1457027765
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
16291 Issued in TX
Practice address
1125 Raintree Cir Ste 100
Allen, TX 75013-5289
Phone
(972) 727-9995
Fax
(972) 727-8350
NPI assigned
Aug 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 16291 TX Primary

Addresses

Primary practice location

1125 Raintree Cir Ste 100
Allen, TX 75013-5289

Mailing address

1125 Raintree Cir Ste 100
Allen, TX 75013-5289
Phone (972) 727-9995

Other practice location 1

7300 Eldorado Pkwy Ste 165
McKinney, TX 75070-7894
Phone (972) 727-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205001175 TX Practitioner - Physician Assistant 9436528015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1125 Raintree Cir
Suite 100
Allen, TX 75013-5289
Phone (972) 727-9995

2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 726-6100

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (972) 498-4826

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

625 S Preston Rd
Suite 130
Celina, TX 75009-4187
Phone (469) 915-4825

Hospital & facility affiliations

  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Methodist Celina Medical Center Hospital, Celina, TX, CCN 670340
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16291TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 12, 2024 Accepting new patients
Radiology Associates of North Texas PA CurrentSince Feb 20, 2023 Accepting new patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Aug 1, 2023 Accepting new patients
Radiology Associates of North Texas PA CurrentSince Feb 20, 2023 Accepting new patients
Medhealth CurrentSince Aug 12, 2024 Accepting new patients
Clinical Care in Radiology Physician Assistant Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1125 Raintree Cir
Ste 100
Allen, TX 75013
Phone (972) 727-9995

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

7300 Eldorado Pkwy
Ste 165
McKinney, TX 75070
Phone (972) 727-9995

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: agoodwin263680@dm.mhd.com

Organizations & group practices 8

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1457027765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135289",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135289",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Eldorado Pkwy Ste 165",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750707894",
            "country_code": "US",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "16291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.