Individual provider Active NPI

Casey Goodman, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1477901221
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S1816 Issued in TX
Practice address
6431 Fannin St
Suite JJL 308S
Houston, TX 77030-1501
Phone
(713) 500-7600
Fax
(713) 500-7619
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S1816 TX Primary

Addresses

Primary practice location

6431 Fannin St
Suite JJL 308S
Houston, TX 77030-1501

Mailing address

6431 Fannin St
Suite JJL 308S
Houston, TX 77030-1501
Phone (713) 500-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20191204000315 CA Practitioner - Family Practice 5890023659 Reassigns benefits to 1 organization
Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Costa Mesa, CA 92627
Phone (714) 261-6540

Hospital & facility affiliations

  • Apex Home Health Care Services Home health agency, Santa Ana, CA, CCN 058341
  • Accentcare Home Health of California, Inc Home health agency, Newport Beach, CA, CCN 057573
  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Parentis Home Health Home health agency, Laguna Hills, CA, CCN 059760
  • Geiss Med Hospice LLC Hospice, Santa Ana, CA, CCN A01734
  • Parentis Hospice Hospice, Laguna Beach, CA, CCN 921592
  • San Juan Hills Healthcare Center Nursing home, San Juan Capistrano, CA, CCN 555763
  • Town & Country Nursing home, Santa Ana, CA, CCN 555141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1816TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiev Medical Aesthetics, a Professional Medical Corporation Current Accepting new patients
Casey a Goodman, MD, Inc Current Accepting new patients
California PHS PC Family Medicine CurrentSince Feb 22, 2023 Accepting new patients
J M Geiss DO Apc Family Medicine CurrentSince Oct 30, 2019 Accepting new patients
Nluc PLLC Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

7638 N Ingram Ave
#111A
Fresno, CA 93711

3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

7710 Garth Rd
Ste A
Baytown, TX 77521

8350 Fry Rd
Ste 400
Cypress, TX 77433

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

8100 Highway 6 N
Ste E
Houston, TX 77095
Phone (832) 304-2314

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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 9

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1477901221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE JJL 308S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7600",
            "fax_number": "713-500-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE JJL 308S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7600",
            "fax_number": "713-500-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.