Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA GLORIA GOODMAN MD
NPI 1770014102
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Active since March 27, 2017PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 26, 2026, May 25, 2021, Mar 27, 2017 (3 updates tracked since 2017).

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 Washington, District Of Columbia, licensed in District Of Columbia (MD600005187) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770014102
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameALYSSA GLORIA GOODMANCredential: MD
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address111 Michigan Ave NwWashington, DC 20010-2916 · (202) 476-5000
Sole ProprietorNo
Enumeration DateMarch 27, 2017
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1770014102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in DC · MD600005187
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Gloria Goodman 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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Goodman was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.