Individual provider Active NPI

Krystoff J. Godlewski, M.D.

  • Cardiovascular Disease Physician
  • Auburn, WA
National Provider Identifier
1083676381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00024832 Issued in WA
Practice address
202 N Division St
Plaza 2 Suite 201
Auburn, WA 98001-4939
Phone
(253) 939-1230
Fax
(253) 735-6479
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00024832 WA Primary

Addresses

Primary practice location

202 N Division St
Plaza 2 Suite 201
Auburn, WA 98001-4939

Mailing address

3505 N Union Ave
Tacoma, WA 98407-6136
Phone (253) 759-1847

Other identifiers 1

IdentifierTypeStateIssuer
8371049MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000272 MT Practitioner - Cardiovascular Disease (Cardiology) 5193716538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6000MTMDPharmacist
MD00024832WAMDCardiovascular Disease Physician
104600MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Oct 17, 2010 Accepting new patients
St Peter'S Health CurrentSince Oct 17, 2010 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
St. Luke'S Methodist Hospital Cardiovascular Disease Past Accepting new patients

Locations

2525 E Broadway St
Ste 203
Helena, MT 59601
Phone (406) 447-2828

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083676381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076136",
            "telephone_number": "253-759-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "address_2": "PLAZA 2 SUITE 201",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-939-1230",
            "fax_number": "253-735-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "KRYSTOFF",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00024832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8371049",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.