Individual provider Active NPI

Valerie Ellen Goodman, DO

  • Family Medicine Physician
  • Centreville, MD
National Provider Identifier
1659334852
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H57821 Issued in MD
Practice address
2540 Centreville Rd
Centreville, MD 21617-2681
Phone
(410) 758-4432
Fax
(410) 758-1938
NPI assigned
Apr 10, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 H57821 MD Primary

Addresses

Primary practice location

2540 Centreville Rd
Centreville, MD 21617-2681

Mailing address

1400 Front Avenue
Suite 300
Lutherville, MD 21093
Phone (410) 296-7190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20101021000133 MD Practitioner - Family Practice 5193918258 Reassigns benefits to 4 organizations
I20200117001546 DC Practitioner - Family Practice 5193918258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

28522 Marlboro Ave
Suite C
Easton, MD 21601-2792
Phone (443) 746-0086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Sep 21, 2020 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 21, 2020 Accepting new patients
CRH MD Management LLC CurrentSince Dec 1, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Dec 1, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Interoperability endpoints

  • Direct secure messaging: valerie.goodman.1@30520.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1659334852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVENUE",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 CENTREVILLE RD",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172681",
            "telephone_number": "410-758-4432",
            "fax_number": "410-758-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "VALERIE",
        "middle_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H57821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.