Active NPI
Daniel Eugene Godfrey, DPM
- Podiatrist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC005771
- Practice address
- 145 W 23Rd St Ste 302a
Erie, PA 16502-2858 - Phone
- (814) 835-3751
- Fax
- (814) 835-3755
- NPI assigned
- Jun 20, 2007
- Last updated
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N006304-2 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N006304-1 | NY | |
| Podiatrist | 213E00000X | SC005771 | PA | Primary |
Addresses
Primary practice location
145 W 23Rd St Ste 302a
Erie, PA 16502-2858
Mailing address
145 W 23Rd St Ste 302a
Erie, PA 16502-2858
Phone (814) 835-3751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P020106304 | Other | NY | EXCELLUS BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 W 23Rd St
302A Ahn SV Foot and Ankle Center
Erie, PA 16502-2858
Phone (814) 835-3751
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 604 |
| Removal or shaving of skin growth | 214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006304-1 | NY | MD | Foot Surgery Podiatrist |
| N006304-2 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients | |
| Penn North Centers for Advanced Wound Care PC | Past | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
145 W 23rd St
Ste 302A
Erie, PA 16502
Phone (814) 452-7354
153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
Interoperability endpoints
- dgodfrey333648@direct.ahn.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Surgery Physician
- Erie, PA
- NPI 1003897307
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1285839134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 302A",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-835-3751",
"fax_number": "814-835-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 302A",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-835-3751",
"fax_number": "814-835-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "DANIEL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N006304-2",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N006304-1",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CROSS BLUE SHIELD",
"identifier": "P020106304",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.