DR. ELI G GOODMAN MD
NPI 1053405589
Internal Medicine - Geriatric Medicine in Jacksonville, IL

Q: What is Eli Goodman's NPI number?

The NPI number for Eli Goodman is 1053405589. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Eli Goodman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Eli Goodman was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 479-5890 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Eli G Goodman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELI G GOODMAN MD (NPI 1053405589) is an individual geriatric medicine provider in Jacksonville, Illinois, licensed in Illinois (036113160) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah D Culbertson Memorial Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1974).

NPPES Registry Identity

NPI1053405589

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. ELI G GOODMANCredential: MD

Location Address1600 W WALNUT STJacksonville, IL 62650-1136

Mailing Address1600 W Walnut StJacksonville, IL 62650-1136 · (217) 479-5890

Phone(217) 479-5890

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1974

Enumeration DateOctober 2, 2006

Last NPPES UpdateDecember 21, 2016

✔ NPI 1053405589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in IL · 036113160

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1600 W WALNUT ST, Jacksonville, IL 62650

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Other Identifiers 5

Medicare UPINO04721

Medicare ID-Type Unspecified023198

Medicare ID-Type Unspecified01326149

Medicare ID-Type Unspecified232-457-920

Medicare UPIND98448

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eli G Goodman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204875594

PECOS Enrollment IDI20050426001383

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eli Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schuyler County Hospital District

31 mi

Critical Access

238 S CONGRESS ST
Rushville, IL 62681

Reassigned Medicare billing, Illinois enrollment
72 clinicians in this Medicare group

NPI 1013969112 (217) 322-4321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141333

Location238 South Congress StreetRushville, IL 62681 · Schuyler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHCARE NETWORK ASSOCIATES

Clinic/Center (Multi-Specialty)