Look up the most recent NPI and PECOS records

Tamara Goodman

Internal Medicine

Allopathic & Osteopathic Physicians

4901 Lang Ave NE, Albuquerque, NM 87109-4495

PECOS Enrollment

Based on the most recent information from CMS, provider Tamara Goodman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1013056282
Provider Type
Individual
Full Name
Goodman, Tamara
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/5/2007
Last Updated
9/18/2019

Contact Information

Practice Location

4901 Lang Ave NE, Albuquerque, NM 87109-4495

(505) 842-8171

Unlisted Fax

Mailing Location

4901 Lang Ave NE, Albuquerque, NM 87109-4495

(505) 842-8171

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD2006-0823 New Mexico
Code 207RG0300X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD2006-0823 New Mexico
Code 207RH0002X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD2006-0823 New Mexico

Provider Identifiers

ID	Description	Issuer
ID 22705325	Description Medicaid	Issuer Unlisted New Mexico

Tamara Goodman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Deprest, Michael H

Lara Barkoff Md Pc

Brislen, Heather C

Epc Nm Aco Llc

Barkoff, Lara

Primary Care And Preventive Services, Pc

Rogers, Kenneth

Lovette, Joy

Rodriguez, Edmee

Patel, Ishan Ashwin