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PROF. AVIEL GOODMAN M.D.
NPI 1114189123
Psychiatry & Neurology - Psychiatry in Saint Paul, MN

Active since June 30, 2008Opted out of Medicare · through Mar 22, 2028
1347 SUMMIT AVE, SAINT PAUL, MN 55105(651) 649-0847 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Aviel Goodman M.d. NPPES

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

PROF. AVIEL GOODMAN M.D. (NPI 1114189123) is an individual psychiatry provider in Saint Paul, Minnesota, licensed in Minnesota (31667) and active in the NPI registry since June 2008. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114189123
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePROF. AVIEL GOODMANCredential: M.D.
Location Address1347 SUMMIT AVESaint Paul, MN 55105-2219
Mailing Address1347 Summit AveSaint Paul, MN 55105-2219 · (651) 649-0847
Phone(651) 649-0847
Sole ProprietorYes
Enumeration DateJune 30, 2008
✔ NPI 1114189123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MN · 31667
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 31667 (MN)
1347 SUMMIT AVE, Saint Paul, MN 55105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Prof. Aviel Goodman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55105 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aviel Goodman's NPI number?

The NPI number for Aviel Goodman is 1114189123. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Aviel Goodman located?

Aviel Goodman practices at 1347 Summit Ave, Saint Paul, MN 55105. The listed phone number is (651) 649-0847.

What is Aviel Goodman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Aviel Goodman enrolled in Medicare?

No. Aviel Goodman has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Aviel Goodman was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.