Individual provider Active NPI

Ross John Goodfellow, D.O.

  • Interventional Cardiology Physician
  • Cocoa Beach, FL
National Provider Identifier
1992765044
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS10988 Issued in FL
Practice address
699 W Cocoa Beach Cswy
Suite 503
Cocoa Beach, FL 32931-3577
Phone
(321) 434-6650
Fax
(321) 868-8396
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X OS10988 FL Primary

Addresses

Primary practice location

699 W Cocoa Beach Cswy
Suite 503
Cocoa Beach, FL 32931-3577

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-6650

Other practice location 1

1223 Gateway Dr Ste 2E
Melbourne, FL 32901-2607
Phone (321) 434-6650

Other practice location 2

8725 N Wickham Rd
Melbourne, FL 32940-2239
Phone (321) 434-6550

Other identifiers 2

IdentifierTypeStateIssuer
002674000MedicaidFL
DO109YOtherFLMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001088 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5799888475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

8725 N Wickham Rd
Suite 302
Melbourne, FL 32940-2240
Phone (321) 434-9230

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10988FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 503
Cocoa Beach, FL 32931
Phone (321) 434-6650

699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

8725 N Wickham Rd
Ste 302
Melbourne, FL 32940
Phone (321) 434-9230

1223 Gateway Dr
#2E
Melbourne, FL 32901
Phone (321) 361-5564

8725 N Wickham Rd
Ste 303
Melbourne, FL 32940

1223 Gateway Dr
Ste 2E
Melbourne, FL 32901
Phone (321) 361-5564

255 Borman Dr
Merritt Island, FL 32953
Phone (321) 434-4552

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

8725 N Wickham Rd
Viera, FL 32940
Phone (321) 253-4673

Interoperability endpoints

  • Direct secure messaging: rgoodfellow28080@epicdirect.hf.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1992765044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-6650",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY",
            "address_2": "SUITE 503",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313577",
            "telephone_number": "321-434-6650",
            "fax_number": "321-868-8396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-434-6650",
            "fax_number": "321-868-8396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8725 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402239",
            "country_code": "US",
            "telephone_number": "321-434-6550",
            "fax_number": "321-868-8396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODFELLOW",
        "first_name": "ROSS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS10988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002674000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DO109Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.