Individual provider Active NPI

Aaron Goodrum, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1700894805
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME93275 Issued in FL
Practice address
2191 9TH Ave N Ste 150
St Petersburg, FL 33713-7146
Phone
(727) 898-3647
Fax
(727) 823-3080
NPI assigned
Aug 4, 2006
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME93275 FL Primary
Diagnostic Radiology Physician 2085R0202X 11874 NV

Addresses

Primary practice location

2191 9TH Ave N Ste 150
St Petersburg, FL 33713-7146

Mailing address

2191 9TH Ave N Ste 150
St Petersburg, FL 33713-7146
Phone (727) 898-3647

Other identifiers 1

IdentifierTypeStateIssuer
106261600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080306000322 FL Practitioner - Diagnostic Radiology 8224034400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2191 9TH Ave N
Suite 150
St Petersburg, FL 33713-7146
Phone (727) 898-3647

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11874NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Price Hoffman Stone & Associates MDS PA CurrentSince Dec 10, 2007 Accepting new patients
Price Hoffman Stone & Associates MDS PA Current Accepting new patients
J Paul Wiesner & Associates Chartered Diagnostic Radiology PastSince Nov 3, 2019 Accepting new patients
Pueblo Medical Imaging, LLC Diagnostic Radiology PastSince Dec 16, 1998 Accepting new patients

Locations

129 1st Ave N
St Petersburg, FL 33701
Phone (727) 896-2273

2191 9th Ave N
Ste 150
St Petersburg, FL 33713
Phone (727) 898-3647

747 6th Ave S
St Petersburg, FL 33701
Phone (727) 896-2273

Dept AT 952404
Atlanta, GA 31192

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1700894805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-898-3647",
            "fax_number": "727-823-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-898-3647",
            "fax_number": "727-823-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRUM",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME93275",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106261600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.