Individual provider Active NPI

Maxwell Goodenow

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1972054740
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058577 Issued in PA
Practice address
600 Oxford Dr
Suite 200
Monroeville, PA 15146-2355
Phone
(412) 858-0380
NPI assigned
Oct 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058577 PA Primary

Addresses

Primary practice location

600 Oxford Dr
Suite 200
Monroeville, PA 15146-2355

Mailing address

451 Reeves Rd
Suite 200
Pittsford, NY 14534-9781

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maxwell.goodenow2@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000538 PA Practitioner - Physician Assistant 7416239496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

600 Oxford Dr
Suite 210
Monroeville, PA 15146-2355
Phone (412) 692-4400

Hospital & facility affiliations

  • Upmc East Hospital, Monroeville, PA, CCN 390328

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 28, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 28, 2016 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

Interoperability endpoints

  • Direct secure messaging: maxwell.goodenow2@upmcdirect.com

Organizations & group practices 4

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 1

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1972054740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 REEVES RD",
            "address_2": "SUITE 200",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145349781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OXFORD DR",
            "address_2": "SUITE 200",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462355",
            "telephone_number": "412-858-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOW",
        "first_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maxwell.goodenow2@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.