Jeffrey B Goudreau, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H2411 Issued in TX

Practice address

5461 La Sierra Dr
Dallas, TX 75231-4107

Phone

(214) 692-8541

Fax

(214) 242-1035

NPI assigned

Jan 26, 2006

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Specialists AssociatedGroup PAC ID 2365407202, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jeff.goudreau@msassoc.eclinicaldirectplus.com

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.

• Medical Specialists Associated

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1447301205
  Medicare reassignment Care Compare group
• Consultants in Radiology PA

  • Diagnostic Radiology Physician
  • Hurst, TX
  • NPI 1922034602
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation
• University of Texas Southwestern Medical Center at Dallas

  dba UT Southwestern University Hospital

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1285798918
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1932179314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314107",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314107",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDREAU",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043249401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Echols Gottsacker, DPT
• Jessica N Gottschalk, DNP - FNP-C
• Patricia M. Gottschalk, CRNA
• Garrett Kenneth Gotway, MD, PHD
• Neghin Goudarzi
• Sally H. Goudreau, M.D.
• Savannah Marie Goudreau, LPC
• Christina Goudy
• Erica Gould, LPC
• Preston Gould

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.

Verify at the official NPI Registry.