ALYSSA GLORIA GOODMAN MD
NPI 1770014102
Pediatrics - Pediatric Emergency Medicine in Cincinnati, OH

Q: What is Alyssa Goodman's NPI number?

The NPI number for Alyssa Goodman is 1770014102. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Alyssa Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Goodman was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

3333 BURNET AVE, MEDICAL STAFF SERVICES MLC 2008, CINCINNATI, OH 45229(513) 636-6796(513) 636-7967 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2021, Mar 27, 2017 (2 updates tracked since 2017).

On this page

About Alyssa Gloria Goodman Md NPPES

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

ALYSSA GLORIA GOODMAN MD (NPI 1770014102) is an individual pediatric emergency medicine provider in Cincinnati, Ohio, licensed in New York (305424) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770014102

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameALYSSA GLORIA GOODMANCredential: MD

Location Address3333 BURNET AVE, MEDICAL STAFF SERVICES MLC 2008Cincinnati, OH 45229-3026

Mailing Address622 W 168th StNew York, NY 10032-3720 · (212) 305-2995

Phone(513) 636-6796

Fax(513) 636-7967

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 27, 2017

Last NPPES UpdateApril 17, 20252 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1770014102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NY · 305424

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 35.141273 (OH)

3333 BURNET AVE, Cincinnati, OH 45229

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Secondary Practice Location 1

Location 147 New Scotland Ave, Dept. of PediatricsAlbany, NY 12208-3412 · Phone (518) 262-6248

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

Alyssa Gloria Goodman 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 ID8325388051

PECOS Enrollment IDI20250709002354

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.

MELISSA BRYANT RN

Nurse Anesthetist, Certified Registered

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 636-4405

BETH E HABERMAN MD

Pediatrics (Neonatal-Perinatal Medicine)

3333 BURNET AVE, ML 7009
CINCINNATI, OH 45229

Hamilton County (513) 636-4830

SUSAN ANN BROWN M.D.

Pediatrics (Adolescent Medicine)

3333 BURNET AVE, DIVISION OF ADOLESCENT MEDICINE BUILDING A-8TH FLOOR
CINCINNATI, OH 45229

Hamilton County (513) 636-8602

CHRISTINA JENSEN VALENTINE MD

Pediatrics (Neonatal-Perinatal Medicine)

3333 BURNET AVE, ML 7009
CINCINNATI, OH 45229

Hamilton County (513) 636-4830

CARRIE LYNN ATZINGER M.S.

Genetic Counselor, MS

3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229

Hamilton County (513) 636-7604

MS. LAURIE ANNE BAILEY M.S.

Genetic Counselor, MS

3333 BURNET AVE, ML-4006
CINCINNATI, OH 45229

Hamilton County (513) 636-4507

DR. SMOKEY J CLAY M.D.

Anesthesiology (Pediatric Anesthesiology)

3333 BURNET AVE, ML 2001
CINCINNATI, OH 45229

Hamilton County (513) 348-6662

MRS. JENNIFER GAMM RUSCHMAN SC.M.

Genetic Counselor, MS

3333 BURNET AVE, MLC 4006
CINCINNATI, OH 45229

Hamilton County (513) 636-0110

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 Alyssa Goodman's NPI number?

The NPI number for Alyssa Goodman is 1770014102. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Alyssa Goodman located?

Alyssa Goodman practices at 3333 Burnet Ave Medical Staff Services Mlc 2008, Cincinnati, OH 45229. The listed phone number is (513) 636-6796.

What is Alyssa Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Alyssa Goodman enrolled in Medicare?

Yes. Alyssa Goodman 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.

When was this NPI record last updated?

The NPPES record for Alyssa Goodman was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.