JOAN C GODDARD (M.D.) – Internal Medicine Physician, NPI 1225034077

JOAN C GODDARD (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD06754 (RI). The NPI Number for JOAN C GODDARD (M.D.) is 1225034077

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
JOAN C GODDARD (M.D.)
NPI
1225034077
Phone
(401) 793-8400
Address
180 CORLISS ST STE B
Enumeration Date
27 June 2005
Last Update Date
19 October 2020

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
4017938400
Graduation Year
1979 (47 years ago)
PAC ID
3971638362
Group Practice PAC ID
7911979869
Professional Enrollment ID
I20100324000652

Contacts

Secure Messaging
joan.goddard.1@10.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for JOAN C GODDARD (M.D.)

  • 180 CORLISS ST STE B

    PROVIDENCE, RI 029042602

    Phone: (401) 793-8400

    Fax: (401) 793-8402

    Mailing address matches the actual address.

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: 2010-03-24

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
I20100324000652IInternal MedicineRITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2725$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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Provider's Procedures

JOAN C GODDARD (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINERI83036Hemoglobin A1C level2718

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: 7911979869View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOAN C GODDARD (M.D.)?
JOAN C GODDARD (M.D.) — NPI 1225034077 — is the standard way to identify this listing.
Can I rely on JOAN C GODDARD (M.D.) being an active provider?
As of the registry snapshot, JOAN C GODDARD (M.D.) is marked active.
What taxonomy line describes JOAN C GODDARD (M.D.)?
For research purposes, treat JOAN C GODDARD (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JOAN C GODDARD (M.D.) list a practice location?
Patients near Providence, Rhode Island may find JOAN C GODDARD (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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