NPIMap

Individual provider Active NPI

Daniel G Goddard, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1942391289
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME61279 Issued in 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
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 ME61279 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000666 FL Practitioner - Family Practice 4082796362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Apr 22, 2020 Accepting new patients
Physician Associates LLC Family Medicine Past Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients
GFM Family Medicine Family Medicine PastSince May 7, 1999 Accepting new patients

Locations

550 E State Road 434
Longwood, FL 32750
Phone (407) 262-5710

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

9679 Lake Nona Village Pl
Ste 101
Orlando, FL 32827
Phone (407) 261-2934

9679 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 826-1895

Interoperability endpoints

  • Direct secure messaging: dgoddard25554@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1942391289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9679 LAKE NONA VILLAGE PL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277310",
            "telephone_number": "407-826-1895",
            "fax_number": "321-203-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9679 LAKE NONA VILLAGE PL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277310",
            "telephone_number": "407-826-1895",
            "fax_number": "321-203-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "DANIEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME61279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.