Individual provider Active NPI

Sonia Shailesh Godambe, M.D.

  • Gastroenterology Physician
  • Elgin, IL
National Provider Identifier
1093964116
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036.117851 Issued in IL
Practice address
745 Fletcher Dr
Elgin, IL 60123-4747
Phone
(847) 888-1300
Fax
(847) 888-1341
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036.117851 IL Primary

Addresses

Primary practice location

745 Fletcher Dr
Elgin, IL 60123-4747

Mailing address

745 Fletcher Dr
Elgin, IL 60123-4747
Phone (847) 888-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110119000076 IL Practitioner - Gastroenterology 3476742768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Michigan State University College of Human Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Gastroenterology Group LLCGroup PAC ID 5193857423, 116 clinicians

Practice addresses (Care Compare)

1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765
Phone (847) 660-7755

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

165 N Lakewood Rd
Suite D
Lake in the Hills, IL 60156-5951
Phone (847) 888-1300

2550 Algonquin Rd
Lake in the Hills, IL 60156-3503
Phone (847) 458-1246

745 Fletcher Dr
Suite 202
Elgin, IL 60123-4747

745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300

77 N Airlite
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy101
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117851ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology SC Gastroenterology Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Sep 1, 2010 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients

Locations

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

745 Fletcher Dr
Elgin, IL 60123
Phone (847) 695-6600

165 N Lakewood Rd
Ste D
Lake in the Hills, IL 60156

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2000 McDonald Rd
Ste 260
South Elgin, IL 60177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1093964116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234747",
            "telephone_number": "847-888-1300",
            "fax_number": "847-888-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234747",
            "telephone_number": "847-888-1300",
            "fax_number": "847-888-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODAMBE",
        "first_name": "SONIA",
        "middle_name": "SHAILESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.117851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.