DR. GRADY G. GOODWIN (M.D.) – Internal Medicine Physician, NPI 1407964158

DR. GRADY G. GOODWIN (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. M4160 (TX). The NPI Number for DR. GRADY G. GOODWIN (M.D.) is 1407964158

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRADY G. GOODWIN (M.D.)
NPI
1407964158
Phone
(214) 820-3000
Address
3500 GASTON AVE
Enumeration Date
25 August 2006
Last Update Date
26 July 2012

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8449413087
Graduation Year
2003 (23 years ago)
PAC ID
2961403803
Group Practice PAC ID
5597170878
Professional Enrollment ID
I20070120000029
Address ID
TX750133845AL950XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for DR. GRADY G. GOODWIN (M.D.)

  • Baylor University Medical Center, 3500, Gaston Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States

    4 ROBERTS

    DALLAS, TX 752462017

    Phone: (214) 820-3000

    Fax: (214) 820-3022

    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: 2007-01-20

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
I20070120000029IInternal MedicineTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes13879$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and12794$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes10970$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes10566$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days6211$0
View full utilization report →

Insurance plans in this area (ZIP 75246)

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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: 5597170878View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Hospitalist, Internal Medicine, Emergency MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DR. GRADY G. GOODWIN (M.D.) in U.S. healthcare records?
The official identifier for DR. GRADY G. GOODWIN (M.D.) is NPI 1407964158.
Is DR. GRADY G. GOODWIN (M.D.) shown as active in public data?
Registry records indicate DR. GRADY G. GOODWIN (M.D.) maintains an active NPI.
What expertise is attributed to DR. GRADY G. GOODWIN (M.D.)?
DR. GRADY G. GOODWIN (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. GRADY G. GOODWIN (M.D.) located near Dallas?
DR. GRADY G. GOODWIN (M.D.) currently maps to Dallas, Texas in this extract.
Does DR. GRADY G. GOODWIN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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