SUSAN PAMELA GOODE (M.D.) – Pediatric Gastroenterology Physician, NPI 1255354593

SUSAN PAMELA GOODE (M.D.) is a healthcare provider. based in Tucson, Arizona. specializing in PEDIATRIC MEDICINE, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 62272 (AZ). The NPI Number for SUSAN PAMELA GOODE (M.D.) is 1255354593

Main info

Female
30 Years Of Experience
Name
SUSAN PAMELA GOODE (M.D.)
NPI
1255354593
Phone
(520) 694-5437
Address
6261 N La Cholla Blvd Ste 131
Enumeration Date
26 July 2006
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
5203245437
Graduation Year
1996 (30 years ago)
PAC ID
6305816612
Group Practice PAC ID
2264503408
Professional Enrollment ID
I20210226000533
Address ID
AZ857126106TU2600XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

514 PEDIATRIC MEDICINE in AZ

Provider Addresses for SUSAN PAMELA GOODE (M.D.)

  • 6261 N La Cholla Blvd Ste 131

    Tucson, AZ 857413556

    Phone: (520) 694-5437

    Type: Location

  • 2600 N Wyatt Dr

    Tucson, AZ 857126106

    Phone: (520) 324-5437

    Type: Location

  • 5555 E BASELINE RD

    MESA, AZ 852064709

    Phone: (480) 393-0575

    Fax: (480) 704-4019

    Type: Mailing

  • 11509 E RAFAEL AVE

    MESA, AZ 852124196

    Phone: (347) 327-3874

    Type: Mailing

  • 535 N WILMOT RD STE 101

    TUCSON, AZ 857112683

    Phone: (520) 694-5437

    Type: Location

  • 3640, Main Street, Chicopee, Hampden County, Massachusetts, 01199, United States

    SUITE 204

    SPRINGFIELD, MA 011071145

    Phone: (413) 304-2650

    Fax: (413) 304-2649

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $691.

Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($293).

Total Amount

$691

General + Research + Ownership

Payments

13

Total payment records

General Amount

$691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210226000533IPediatric MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264503408View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAZ
-AZ
-AZ
Clinical Social WorkerAZ
Clinical Social WorkerAZ
Hospitalist, Pediatric MedicineAZ
-AZ
Physical Therapist In Private PracticeAZ
-AZ
Orthopedic SurgeryAZ

Reviews

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Frequently asked questions

What NPI should I save for SUSAN PAMELA GOODE (M.D.)?
Save NPI 1255354593 if you need a stable reference for SUSAN PAMELA GOODE (M.D.).
Is SUSAN PAMELA GOODE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SUSAN PAMELA GOODE (M.D.) work in?
You can think of SUSAN PAMELA GOODE (M.D.) as practicing within Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does SUSAN PAMELA GOODE (M.D.) practice in Arizona?
You will see Tucson, Arizona on file for SUSAN PAMELA GOODE (M.D.) alongside any extra practice locations.
What if Tucson, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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