ELIJAH CHANDLER GOEGLEIN DPM
NPI 1366260432
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Q: What is Elijah Goeglein's NPI number?

The NPI number for Elijah Goeglein is 1366260432. It was assigned to this individual provider in the NPPES registry on September 28, 2024.

Q: What is Elijah Goeglein's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elijah Goeglein was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 September 28, 2024PECOS Enrolled

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-2864 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elijah Chandler Goeglein Dpm NPPES

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

ELIJAH CHANDLER GOEGLEIN DPM (NPI 1366260432) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366260432

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameELIJAH CHANDLER GOEGLEINCredential: DPM

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address640 Jackson StSaint Paul, MN 55101-2595

Phone(651) 254-2864

Sole ProprietorYes

Enumeration DateSeptember 28, 2024

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1366260432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

640 JACKSON ST, Saint Paul, MN 55101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Chandler Goeglein Dpm 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 20

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

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Internal Medicine