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DR. KYLE NICHOLAS GOODMAN MD, PHD
NPI 1912641101
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 24, 2022PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110(314) 747-0687 Get Directions Write a Review

NPPES record last updated: April 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kyle Nicholas Goodman Md, Phd NPPES

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

DR. KYLE NICHOLAS GOODMAN MD, PHD (NPI 1912641101) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912641101
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KYLE NICHOLAS GOODMANCredential: MD, PHD
Location Address1 BARNES JEWISH HOSPITAL PLZSaint Louis, MO 63110-1003
Mailing Address660 S Euclid Ave # 8118Saint Louis, MO 63110-1010 · (314) 747-0687
Phone(314) 747-0687
Sole ProprietorNo
Enumeration DateApril 24, 2022
NPPES CertifiedApril 24, 2022
✔ NPI 1912641101 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.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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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)

Dr. Kyle Nicholas Goodman Md, Phd 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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Kyle Goodman's NPI number?

The NPI number for Kyle Goodman is 1912641101. It was assigned to this individual provider in the NPPES registry on April 24, 2022.

Where is Kyle Goodman located?

Kyle Goodman practices at 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110. The listed phone number is (314) 747-0687.

What is Kyle Goodman's specialty?

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

Is Kyle Goodman enrolled in Medicare?

Yes. Kyle Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Goodman was last updated on April 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.