Active NPI
David S Goodman, MD
- Pain Medicine (Anesthesiology) Physician
- Bellevue, WA
National Provider Identifier
1770588113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD0002655
- Practice address
- 2820 Northup Way
Ste 200
Bellevue, WA 98004-1498 - Phone
- (425) 822-1300
- Fax
- (425) 822-1301
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD0002655 | WA | Primary |
Addresses
Primary practice location
2820 Northup Way
Ste 200
Bellevue, WA 98004-1498
Mailing address
2820 Northup Way
Ste 200
Bellevue, WA 98004-1498
Phone (253) 588-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118652 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0002655 | WA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellevue Legacy Primary Care PLLC | Current | Accepting new patients |
Locations
2820 Northup Way
Ste 200
Bellevue, WA 98004
Phone (425) 484-4050
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Bellevue, WA
- NPI 1619712320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770588113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY",
"address_2": "STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041498",
"telephone_number": "253-588-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY",
"address_2": "STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041498",
"telephone_number": "425-822-1300",
"fax_number": "425-822-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "DAVID",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WA",
"license": "MD0002655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1118652",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.