Individual provider Active NPI

Lois S. Goodman, M.D.

  • Gynecology Physician
  • Weston, MA
National Provider Identifier
1497754055
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
36529 Issued in MA
Practice address
45 Colpitts Rd
Weston, MA 02493-1546
Phone
(781) 899-7778
Fax
(781) 899-0475
NPI assigned
Jul 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 36529 MA Primary

Addresses

Primary practice location

45 Colpitts Rd
Weston, MA 02493-1546

Mailing address

45 Colpitts Rd
Weston, MA 02493-1546
Phone (781) 899-7778

Other identifiers 10

IdentifierTypeStateIssuer
0016763OtherMANHP-MA (10)
036529OtherMATUFTS
GOMO9146OtherMABCBS (6)
36529OtherMAMEDICAL LICENSE (1)
GOMO9146OtherMABCBS-MA (218)
043550681OtherMAHEALTH NET OF NE (62)
27416OtherMACMSP/HSP (401)
3580607003OtherMACIGNA (33)
13636OtherMAHPHC
578760OtherMAHEALTHSOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110106000253 MA Practitioner - Obstetrics/Gynecology 0345439337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

422 Worcester St
Suite 103
Wellesley Hills, MA 02481-5341
Phone (339) 686-8825

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36529MAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lois Goodman MD PLLC Gynecology CurrentSince Jun 13, 2019 Accepting new patients
Goodman Medical P.C. PastSince Jul 1, 2013 Accepting new patients

Locations

422 Worcester St
Ste 103
Wellesley Hills, MA 02481
Phone (339) 686-8825

Interoperability endpoints

  • Direct secure messaging: goodman.lois.gynpart@direct.partners.masshiway.net

Organizations & group practices 2

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 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": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1497754055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLPITTS RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931546",
            "telephone_number": "781-899-7778",
            "fax_number": "781-899-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COLPITTS RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931546",
            "telephone_number": "781-899-7778",
            "fax_number": "781-899-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LOIS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-17",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "36529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP-MA (10)",
            "identifier": "0016763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "036529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (6)",
            "identifier": "GOMO9146",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE   (1)",
            "identifier": "36529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MA (218)",
            "identifier": "GOMO9146",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF NE  (62)",
            "identifier": "043550681",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSP/HSP (401)",
            "identifier": "27416",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (33)",
            "identifier": "3580607003",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "13636",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "578760",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.