Individual provider Active NPI

Daniel Eugene Godfrey, DPM

  • Podiatrist
  • Erie, PA
National Provider Identifier
1285839134
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005771 Issued in PA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P020106304OtherNYEXCELLUS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000013 PA Practitioner - Podiatry 7911099486 Reassigns benefits to 1 organization

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 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions22
Removal of nail tissue604
Removal or shaving of skin growth214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006304-1NYMDFoot Surgery Podiatrist
N006304-2NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Oct 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.