DR. MICHAEL MOSHE GOODBLATT (M.D.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1952613374

DR. MICHAEL MOSHE GOODBLATT (M.D.) is a healthcare provider. based in Olympia, Washington. specializing in HOSPICE/PALLIATIVE CARE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD60969403 (WA). The NPI Number for DR. MICHAEL MOSHE GOODBLATT (M.D.) is 1952613374

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL MOSHE GOODBLATT (M.D.)
NPI
1952613374
Phone
(360) 486-6402
Address
413 LILLY RD NE
Enumeration Date
14 July 2010
Last Update Date
23 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
3604919480
Graduation Year
2010 (16 years ago)
PAC ID
0749419240
Group Practice PAC ID
7719873496
Professional Enrollment ID
I20190925000976
Address ID
WA985065133OL413XXNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

127 HOSPICE/PALLIATIVE CARE in WA

Provider Addresses for DR. MICHAEL MOSHE GOODBLATT (M.D.)

  • 413 LILLY RD NE

    OLYMPIA, WA 985065133

    Phone: (360) 486-6402

    Type: Location

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

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: 2019-09-25

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
I20190925000976IHospice/Palliative CareWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10580$0
99215Established patient office or other outpatient visit, 40-54 minutes7354$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6262$0
99205New patient office or other outpatient visit, 60-74 minutes4040$0
99497Advance care planning, first 30 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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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: 7719873496View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL MOSHE GOODBLATT (M.D.)?
Save NPI 1952613374 if you need a stable reference for DR. MICHAEL MOSHE GOODBLATT (M.D.).
Is DR. MICHAEL MOSHE GOODBLATT (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MICHAEL MOSHE GOODBLATT (M.D.) work in?
You can think of DR. MICHAEL MOSHE GOODBLATT (M.D.) as practicing within Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL MOSHE GOODBLATT (M.D.)?
The page summarizes Olympia, Washington for DR. MICHAEL MOSHE GOODBLATT (M.D.); expand the address list for detail.
What if Olympia, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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