Individual provider Active NPI

David L Goodman, MD

  • Allergy & Immunology Physician
  • Englewood, CO
National Provider Identifier
1487637997
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
31598 Issued in CO
Practice address
3601 S Clarkson
Suite 200
Englewood, CO 80113-3946
Phone
(303) 761-4343
Fax
(303) 761-0943
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 31598 CO Primary

Addresses

Primary practice location

3601 S Clarkson
Suite 200
Englewood, CO 80113-3946

Mailing address

3601 S Clarkson
Suite 200
Englewood, CO 80113-3946
Phone (303) 761-4343

Other identifiers 1

IdentifierTypeStateIssuer
01315985MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040421001194 CO Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 6608860242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Alabama School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4350 Wadsworth Blvd
Suite 440
Wheat Ridge, CO 80033-4638
Phone (303) 761-4343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31598COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Consultants of the Rockies PC Allergy & Immunology CurrentSince Sep 1, 1995 Accepting new patients

Locations

3601 S Clarkson St
Ste 200
Englewood, CO 80113
Phone (303) 761-4343

26 W Dry Creek Cir
Ste 750
Littleton, CO 80120
Phone (303) 761-4343

4350 Wadsworth Blvd
Ste 440
Wheat Ridge, CO 80033
Phone (303) 238-6575

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHIAA/Endpoint/DCHIAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1487637997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133946",
            "telephone_number": "303-761-4343",
            "fax_number": "303-761-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133946",
            "telephone_number": "303-761-4343",
            "fax_number": "303-761-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "31598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01315985",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.