Daniel G Goddard, MD
Individual provider Active NPI Family Medicine Physician · Orlando, FL
NPI 1942391289 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1942391289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME61279 (FL)
- Practice address
- 9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310 - Phone
- (407) 826-1895
- Fax
- (321) 203-4601
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Orlando Physicians Network Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600
Hospital & facility affiliations
- Mederi Caretenders
- Trilogy Home Healthcare
- Adventhealth Home Health
- Orlando Health
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080124000666 | FL | Practitioner - Family Practice | 4082796362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Family Medicine | Current |
Accepting new patients |
| Orlando Health Medical Group Inc | Past | Accepting new patients | |
| GFM Family Medicine | Family Medicine | Past |
Accepting new patients |
| Physician Associates LLC | Family Medicine | Past | Accepting new patients |
Locations
550 E State Road 434
Longwood, FL 32750
Phone (407) 262-5710
9679 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 826-1895
9679 Lake Nona Village Pl
Ste 101
Orlando, FL 32827
Phone (407) 261-2934
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
Interoperability endpoints
- dgoddard25554@orlandohealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME61279 | FL | Yes |
Addresses
Primary practice location
9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310
Mailing address
9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310
Phone (407) 826-1895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593582765 | Other | FL | GOLDEN RULE PROVIDER # |
| 10D1007057 | Other | FL | C.L.I.A. # |
| 593582765 | Other | FL | CHAMPUS/TRICARE # |
| 51801387 | Other | FL | AETNA PROVIDER # |
| 593582765 | Other | FL | BEECH STREET INSURANCE |
| BD4403161 | Other | FL | D.E.A. # |
| 28143 | Other | FL | BLUE CROSS BLUE SHIELD |
| 593582765 | Other | FL | CIGNA |
| 593582765 | Other | FL | UNITED HEALTH CARE |
| 593582765 | Other | FL | SRC-AETNA |
| 593582765 | Other | FL | P.H.C.S. INSURANCE |
| 593582765 | Other | FL | F.H.H.S. INSURANCE |
| 593582765 | Other | FL | AV-MED |
| 378940300 | Medicaid | FL | |
| 593582765 | Other | FL | GREAT WEST PROVIDER # |
| 593582765 | Other | FL | HUMANA GOLD PLUS |
| 593582765 | Other | FL | WELLCARE |
| ME61279 | Other | FL | FLORIDA STATE LICENSE # |
Other providers in Orlando, FL
- George Gobrial
- Gocare Transport, LLC
- God Around the World Ministries
- God Around the World Ministries
- Britney Godbolt
- Chadwick Dewayne Godfrey Jr.
- Meganne Michele Godke
- Peter Godleski
- Marco A Godoy Lopez
- Emilia Godoy-Rapport
All providers in Orlando, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.