DAVID EDWARD GOODMAN M.D., M.S.E.
NPI 1265588511
General Practice in Novato, CA

Active since January 26, 2007PECOS EnrolledCLIA 05D2070588 · Waiver
69.15/100
CMS Quality Rating
300 PROFESSIONAL CENTER DR STE 326, NOVATO, CA 94947(415) 897-5400(415) 892-9506 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2020, Feb 11, 2019 (2 updates tracked since 2019).

About David Edward Goodman M.d., M.s.e. NPPES

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

DAVID EDWARD GOODMAN M.D., M.S.E. (NPI 1265588511) is an individual general practice provider in Novato, California, licensed in California (G80213) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through December 18, 2027.

NPPES Registry Identity

NPI1265588511
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID EDWARD GOODMANCredential: M.D., M.S.E.
Location Address300 PROFESSIONAL CENTER DR STE 326Novato, CA 94947-4334
Mailing Address6 Parkside WayGreenbrae, CA 94904-1346 · (415) 672-4427 · Fax (628) 212-4700
Fax(415) 892-9506
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1265588511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G80213
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
300 PROFESSIONAL CENTER DR STE 326, Novato, CA 94947

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Edward Goodman M.d., M.s.e. 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2070588

David E Goodman, MD, Mse, A Professional Medical Corporation · Novato, CA
Active · expires Dec 18, 2027
CLIA Number05D2070588
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorDavid E. Goodman
Laboratory Phone(415) 897-5400
Laboratory LocationDavid E Goodman, MD, Mse, A Professional Medical Corporation300 Professional Center Dr, Ste 326, Novato, CA 94947
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.56
Promoting Interoperability88
Improvement Activities40
Cost23.62

Other Providers at the Same Location NPPES 3

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

Physician Assistant
300 PROFESSIONAL CENTER DR STE 326
NOVATO, CA 94947
Family Medicine
300 PROFESSIONAL CENTER DR STE 326
NOVATO, CA 94947
Nurse Practitioner (Family)
300 PROFESSIONAL CENTER DR STE 326
NOVATO, CA 94947

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 David Goodman's NPI number?

The NPI number for David Goodman is 1265588511. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is David Goodman located?

David Goodman practices at 300 Professional Center Dr Ste 326, Novato, CA 94947. The listed phone number is (415) 897-5400.

What is David Goodman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Goodman enrolled in Medicare?

Yes. David Goodman is registered in the Medicare PECOS enrollment system.

Does David Goodman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2070588) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David Goodman was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.