DR. ROBERT CLARE GOODWIN M.D.
NPI 1215051164
Specialist in South Windsor, CT

Active since March 18, 2007PECOS Enrolled
1726 ELLINGTON RD, SOUTH WINDSOR, CT 06074(860) 644-9191(860) 644-9191 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Clare Goodwin M.d. NPPES

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

DR. ROBERT CLARE GOODWIN M.D. (NPI 1215051164) is an individual specialist in South Windsor, Connecticut, licensed in Connecticut (16361) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215051164
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT CLARE GOODWINCredential: M.D.
Location Address1726 ELLINGTON RDSouth Windsor, CT 06074-2739
Mailing Address1726 Ellington RdSouth Windsor, CT 06074-2739 · (860) 644-9191 · Fax (860) 644-9191
Fax(860) 644-9191
Sole ProprietorYes
Enumeration DateMarch 18, 2007
Last NPPES UpdateOctober 31, 2013
NPI 1215051164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · 16361
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 016361 (CT)
1726 ELLINGTON RD, South Windsor, CT 06074

Other Identifiers 3

Medicare UPINDO2888
Medicare ID-Type Unspecified260000487
Other010016361CT01CT · Non-par Anthem Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Robert Clare Goodwin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
1726 ELLINGTON RD
SOUTH WINDSOR, CT 06074

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 Robert Goodwin's NPI number?

The NPI number for Robert Goodwin is 1215051164. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Robert Goodwin located?

Robert Goodwin practices at 1726 Ellington Rd, South Windsor, CT 06074. The listed phone number is (860) 644-9191.

What is Robert Goodwin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Goodwin enrolled in Medicare?

Yes. Robert Goodwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Goodwin was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.