Michelle Lynn Goedken, D.O

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

006346 Issued in AZ

Practice address

1521 E Tangerine Rd Ste 161
Oro Valley, AZ 85755-6217

Phone

(520) 771-0288

Fax

(520) 771-0289

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Michelle Lynn Duff Former name

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 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 2

Specialty

Dermatology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Dermatology, PLLCGroup PAC ID 4385013721, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.77 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

85.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgoedken@ironwooddermatology.emadirect.md
• Direct secure messaging: mgoedken@desertdermatologypllc.emadirect.md

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.

• Desert Dermatology, PLLC

  • Dermatology Physician
  • Oro Valley, AZ
  • NPI 1417673112
  Medicare reassignment Care Compare group NPD Authorized official
• Regency Skin Institute PLLC

  • MOHS-Micrographic Surgery Physician
  • Surprise, AZ
  • NPI 1932630563
  Medicare reassignment NPD
• Durango Dermatology and Dermatologic Surgery LLC

  • Dermatology Physician
  • Durango, CO
  • NPI 1497811160
  Medicare reassignment NPD
• Ironwood Dermatology, PC

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1558363465
  NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1609139138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 E CALLE SIN RUIDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187337",
            "telephone_number": "269-370-0510",
            "fax_number": "520-771-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 161",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556217",
            "telephone_number": "520-771-0288",
            "fax_number": "520-771-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3172 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121227",
            "country_code": "US",
            "telephone_number": "623-243-9077",
            "fax_number": "623-271-9826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20401 N 73rd St",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554107",
            "country_code": "US",
            "telephone_number": "480-566-0446",
            "fax_number": "480-556-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEDKEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "006346",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DUFF",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dermatology Physician in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.