Individual provider Active NPI

Daniel Fred Goodman, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1679758635
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G53124 Issued in CA
Practice address
2211 Bush St
2ND Floor
San Francisco, CA 94115-3121
Phone
(415) 474-3333
Fax
(415) 474-3939
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G53124 CA Primary

Addresses

Primary practice location

2211 Bush St
2ND Floor
San Francisco, CA 94115-3121

Mailing address

2211 Bush St
2ND Floor
San Francisco, CA 94115-3121
Phone (415) 474-3333

Other identifiers 1

IdentifierTypeStateIssuer
OOG531242MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090713000388 CA Practitioner - Ophthalmology 9739258641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 Bush St
FL 2
San Francisco, CA 94115-3121
Phone (415) 474-3333

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53124CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel F Goodman, MD, a Medical Group Inc. Ophthalmology CurrentSince Jun 1, 2009 Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Medical Center at Mt. Zion Past Accepting new patients

Locations

2211 Bush St
Fl 2
San Francisco, CA 94115
Phone (415) 473-3333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dgoodman@goodmaneyecenter.direct.eyemdemr.com

Organizations & group practices 6

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 2

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1679758635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 BUSH ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153121",
            "telephone_number": "415-474-3333",
            "fax_number": "415-474-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 BUSH ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153121",
            "telephone_number": "415-474-3333",
            "fax_number": "415-474-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DANIEL",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G53124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG531242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.