DR. MIRANDA ANNE GOODALE DPM NPI 1003858762

NPI Information

  • NPI: 1003858762
  • Provider Name: DR. MIRANDA ANNE GOODALE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 955 W CRAIG AVE
    BRAZIL, IN
    ZIP 47834
  • Phone: (812) 448-9290

Map and Directions

Get Directions

NPI Details

DR. Miranda Anne Goodale, DPM is a foot and ankle surgery podiatrist in Brazil, IN with 23 years of experience. DR. Miranda Anne Goodale, DPM NPI is 1003858762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2003

The provider's business location address is:

955 W CRAIG AVE
BRAZIL, IN
ZIP 47834-400
Phone: (812) 448-9290
Fax: (812) 448-9296

The NPI 1003858762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection into tendon or ligament (HCPCS:20550)

The enumeration date for this NPI number is 6/10/2006 and was last updated on 5/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric Medicine07001015AINDIANANo
2213ES0103XPodiatristFoot & Ankle Surgery07001015AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000392910OTHERINDIANABLUE CROSS BLUE SHIELD
2200825350AMEDICAIDINDIANA
30385202OTHERCIGNA
40732240001OTHERDMERC WITH PPG
537278OTHERINDIANAIHN PPO NETWORK
65692086OTHERFIRSTHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.