NPIMap

Individual provider Active NPI

Thomas Perry Goodell, M.D.

  • Family Medicine Physician
  • Trinidad, CO
National Provider Identifier
1639266950
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46411 Issued in CO
Practice address
400 Benedicta Ave
Trinidad, CO 81082-2099
Phone
(719) 846-2206
Fax
(719) 845-0663
NPI assigned
Oct 6, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6971A WY
Family Medicine Physician 207Q00000X 46411 CO Primary

Addresses

Primary practice location

400 Benedicta Ave
Trinidad, CO 81082-2099

Mailing address

400 Benedicta Ave
Trinidad, CO 81082-2099
Phone (719) 846-2206

Other identifiers 2

IdentifierTypeStateIssuer
822753335MedicaidCO
119222100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000359 CO Practitioner - Family Practice 3274527197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinidad Area Health AssociationGroup PAC ID 2769394055, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

400 Benedicta Ave
Suite a
Trinidad, CO 81082-2089
Phone (719) 846-2206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.05 of 100Reported as group
Quality
84.23
Promoting interoperability
100
Improvement activities
40
Cost
51.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46411COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Dec 1, 2025 Accepting new patients
Trinidad Area Health Association Family Medicine CurrentSince Sep 3, 2012 Accepting new patients
Trinidad Area Health Association CurrentSince Sep 3, 2012 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
Thomas Perry Goodell, MD, PC Family Medicine Past Accepting new patients

Locations

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

Interoperability endpoints

  • Direct secure messaging: thomas_p_goodell@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1639266950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-2206",
            "fax_number": "719-845-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-846-2206",
            "fax_number": "719-845-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "THOMAS",
        "middle_name": "PERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6971A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822753335",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119222100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

Verify at the official NPI Registry.