Individual provider Active NPI

Susan Goetz, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1891726063
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4692 Issued in TX
Practice address
2001 S Coulter St Ste 2001
Amarillo, TX 79106-2521
Phone
(806) 351-7070
Fax
(806) 351-7079
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 K4692 TX Primary

Addresses

Primary practice location

2001 S Coulter St Ste 2001
Amarillo, TX 79106-2521

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (806) 351-7070

Other identifiers 2

IdentifierTypeStateIssuer
0922932-07MedicaidTX
8GA234OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090223000265 TX Practitioner - Family Practice 4981769130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

5601 W Interstate 40
Suite 100
Amarillo, TX 79106-4625
Phone (806) 414-8022

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4692TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Jul 5, 2016 Accepting new patients

Locations

5601 W Interstate 40
Amarillo, TX 79106
Phone (806) 318-5777

2001 S Coulter St
Ste 2001
Amarillo, TX 79106
Phone (806) 318-5777

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

5601 W Interstate 40
Ste 100
Amarillo, TX 79106
Phone (806) 414-8022

301 N 23rd St
Ste C
Canyon, TX 79015
Phone (806) 351-7150

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1891726063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-351-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S COULTER ST STE 2001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-351-7070",
            "fax_number": "806-351-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922932-07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8GA234",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.