HOLLY L GOODALE MD
NPI 1750340410
Specialist in Dorchester, MA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
1353 DORCHESTER AVE, DORCHESTER, MA 02122(617) 740-2277 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Holly L Goodale Md NPPES

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

HOLLY L GOODALE MD (NPI 1750340410) is an individual specialist in Dorchester, Massachusetts, licensed in Massachusetts (77726) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (1990).

NPPES Registry Identity

NPI1750340410
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameHOLLY L GOODALECredential: MD
Location Address1353 DORCHESTER AVEDorchester, MA 02122-2932
Mailing Address1353 Dorchester AveDorchester, MA 02122-2932 · (617) 740-2277
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1990
Enumeration DateMarch 21, 2006
Last NPPES UpdateAugust 22, 2014
NPI 1750340410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MA · 77726
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.
1353 DORCHESTER AVE, Dorchester, MA 02122

Other Identifiers 3

Medicaid3143023MA
Medicare ID-Type UnspecifiedA20828MA
Medicare UPING17458MA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly L Goodale Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719208792
PECOS Enrollment IDI20150602002201
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.

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims310 services$4.28 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims2,475 services$0.98 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 20

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

Social Worker (Clinical)
1353 DORCHESTER AVE
BOSTON, MA 02122
Counselor (Mental Health)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Clinical Nurse Specialist (Psychiatric/Mental Health)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Student in an Organized Health Care Education/Training Program
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Speech-Language Pathologist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Optometrist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Nurse Practitioner (Family)
1353 DORCHESTER AVE
DORCHESTER, MA 02122

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 Holly Goodale's NPI number?

The NPI number for Holly Goodale is 1750340410. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Holly Goodale located?

Holly Goodale practices at 1353 Dorchester Ave, Dorchester, MA 02122. The listed phone number is (617) 740-2277.

What is Holly Goodale's specialty?

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

Is Holly Goodale enrolled in Medicare?

Yes. Holly Goodale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Goodale accept?

Health plans from Anthem Blue Cross and Blue Shield list Holly Goodale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Goodale was last updated on August 22, 2014. 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.