DR. ALISHA GOODRUM M.D.
NPI 1275945909
Internal Medicine - Addiction Medicine in San Francisco, CA

Q: What is Alisha Goodrum's NPI number?

The NPI number for Alisha Goodrum is 1275945909. It was assigned to this individual provider in the NPPES registry on May 29, 2014. The provider is also known as Ms. Alisha Stephens M.D..

Q: What is Alisha Goodrum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Alisha Goodrum was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 29, 2014PECOS Enrolled

101 MISSION ST STE 800, SAN FRANCISCO, CA 94105(415) 231-5333(415) 231-5332 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, May 25, 2023, Sep 28, 2018 and 3 more (6 updates tracked since 2016).

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About Dr. Alisha Goodrum M.d. NPPES

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

DR. ALISHA GOODRUM M.D. (NPI 1275945909) is an individual addiction medicine provider in San Francisco, California, licensed in Georgia (079346) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2014).

NPPES Registry Identity

NPI1275945909

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameDR. ALISHA GOODRUMCredential: M.D.

Location Address101 MISSION ST STE 800San Francisco, CA 94105-1744

Mailing Address101 Mission St Ste 800San Francisco, CA 94105-1744 · (415) 231-5333 · Fax (415) 231-5332

Phone(415) 231-5333

Fax(415) 231-5332

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2014

Enumeration DateMay 29, 2014

Last NPPES UpdateSeptember 7, 20236 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1275945909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in GA · 079346

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 079346 (GA)

101 MISSION ST STE 800, San Francisco, CA 94105

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Other Names 1

Former Name (1)Ms. Alisha Stephens M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Alisha Goodrum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901023274

PECOS Enrollment IDI20181005002873

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94105 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers19 claims58 services$6.15 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier14 claims14 services$185.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

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