Active NPI
Robert Scott Goodwin, MD
- Diagnostic Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00021145
- Practice address
- 800 Montclair Rd
Birmingham, AL 35213-1908 - Phone
- (205) 871-4274
- Fax
- (205) 871-4301
- NPI assigned
- Jun 22, 2006
- Last updated
- Dec 30, 2015
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00021145 | AL | Primary |
Addresses
Primary practice location
800 Montclair Rd
Birmingham, AL 35213-1908
Mailing address
2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169817 | Medicaid | AL | |
| 105465 | Medicaid | AL | |
| 515-91847 | Other | AL | BLUE CROSS |
| 511-09729 | Other | AL | BLUE CROSS |
| 515-91850 | Other | AL | BLUE CROSS |
| 515-94531 | Other | AL | BLUE CROSS |
| 103118 | Medicaid | AL | |
| 511-56295 | Other | AL | BLUE CROSS |
| 122536 | Medicaid | AL | |
| 103122 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3660
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3435
604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 761-8111
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000
Hospital & facility affiliations
- Princeton Baptist Medical Center
- Citizens Baptist Medical Center
- Cullman Regional Medical Center
- University of Alabama Hospital
- Grandview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021145 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1376594192
-
- Nephrology Physician
- Vestavia Hills, AL
- NPI 1023030152
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grandview Medical Center
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
dba Baptist Health Citizens Hospital
- General Acute Care Hospital
- Talladega, AL
- NPI 1174977557
-
dba Baptist Health Princeton Hospital
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
-
- General Acute Care Hospital
- Cullman, AL
- NPI 1114919339
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1902842347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000A SOUTHBRIDGE PKWY",
"address_2": "STE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352097718",
"telephone_number": "205-871-4274",
"fax_number": "205-871-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MONTCLAIR RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131908",
"telephone_number": "205-871-4274",
"fax_number": "205-871-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00021145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169817",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105465",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "515-91847",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "511-09729",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "515-91850",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "515-94531",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103118",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "511-56295",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122536",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103122",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.