Andrew Godwin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

281377-1 Issued in NY

Practice address

224 Wall St Ste 101
Huntington, NY 11743-2186

Phone

(631) 351-2024

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

General Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nsuh Huntington Physicians Ufp CorporationGroup PAC ID 5294224556, 4 clinicians

Long Island Obesity Surgery PCGroup PAC ID 8921386426, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8u8tjEclnkYFNZ5jrEAJ1UOfzxVcOv0c/
• Direct secure messaging: andrewgodwin@nslijmedgr.allscriptsdirect.net

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.

• Long Island Obesity Surgery, PC

  • Surgery Physician
  • Huntington, NY
  • NPI 1588016729
  Medicare reassignment Care Compare group NPD
• Nsuh Huntington Physicians Ufp Corporation

  • Surgery Physician
  • Huntington, NY
  • NPI 1164223657
  Medicare reassignment Care Compare group NPD
• Huntington Hospital Association

  dba Cardiology Department/ Echo

  • Nuclear Cardiology Physician
  • Huntington, NY
  • NPI 1225003221
  NPD (past)
• Huntington Hospital Association

  • General Acute Care Hospital
  • Huntington, NY
  • NPI 1508845322
  NPD (past)

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

• Huntington Hospital Association

  • General Acute Care Hospital
  • Huntington, NY
  • NPI 1508845322
  Care Compare affiliation

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1164712220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WALL ST STE 101",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432186",
            "telephone_number": "631-351-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WALL ST STE 101",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432186",
            "telephone_number": "631-351-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "281377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.