DALE A. GOODMAN (MD) – Anesthesiology Physician, NPI 1518052158

DALE A. GOODMAN (MD) is a healthcare provider. based in La porte, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01041200 (IN). The NPI Number for DALE A. GOODMAN (MD) is 1518052158

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DALE A. GOODMAN (MD)
NPI
1518052158
Phone
(219) 324-2229
Address
800 LINCOLNWAY
Enumeration Date
3 October 2006
Last Update Date
22 June 2009

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2198771033
Graduation Year
1988 (38 years ago)
PAC ID
7113097569
Group Practice PAC ID
4688633241
Professional Enrollment ID
I20080528000531
Address ID
IN463604358MI301XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for DALE A. GOODMAN (MD)

  • 800, Lincolnway, La Porte, LaPorte County, Indiana, 46350, United States

    SUITE 301

    LA PORTE, IN 463503438

    Phone: (219) 324-2229

    Fax: (219) 324-2229

    Type: Mailing

  • La Porte Hospital, 1007, Lincolnway, La Porte, LaPorte County, Indiana, 46350, United States

    LA PORTE, IN 463503201

    Phone: (219) 326-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-05-28

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
I20080528000531IAnesthesiologyINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00790Anesthesia for other procedure on upper abdomen1414$0
View full utilization report →

Insurance plans in this area (ZIP 46350)

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Provider's Procedures

DALE A. GOODMAN (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN00142Anesthesia for lens surgery5348
ANESTHESIOLOGYIN00790Anesthesia for procedure in upper abdomen including use of an endoscope1515
ANESTHESIOLOGYIN36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1111

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: 4688633241View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

Is there an official ID for DALE A. GOODMAN (MD) in U.S. healthcare records?
The official identifier for DALE A. GOODMAN (MD) is NPI 1518052158.
Is there an active status for DALE A. GOODMAN (MD)?
For scheduling context, DALE A. GOODMAN (MD) is shown as active in the registry.
What kind of doctor is DALE A. GOODMAN (MD)?
DALE A. GOODMAN (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DALE A. GOODMAN (MD)?
Directory geography for DALE A. GOODMAN (MD) centers on La Porte, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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