HOLLY L GOODALE MD
NPI 1750340410
Specialist in Dorchester, MA

Active since March 21, 2006PECOS Enrolled
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: July 19, 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.

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
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 (PECOS)

Holly L Goodale Md 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.

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.

Specialist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Pediatrics
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Physician Assistant
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Psychiatry & Neurology (Psychiatry)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Physical Therapist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker
1353 DORCHESTER AVE
DORCHESTER, MA 02122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750340410, enumerated as an "individual" on March 21, 2006.

The provider is located at 1353 DORCHESTER AVE DORCHESTER, MA 02122 and the phone number is (617) 740-2277.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.