Godofredo C Carandang, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Practice address

7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025

Phone

(708) 361-5778

Fax

(708) 361-5631

NPI assigned

Sep 20, 2005

Last updated

Jan 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southwest Infectious Disease & Internal Medicine S C

  • Infectious Disease Physician
  • Palos Heights, IL
  • NPI 1447337548
  Medicare reassignment NPD
• Id Associates Limited

  • Infectious Disease Physician
  • Oak Brook, IL
  • NPI 1699201582
  NPD (past)
• John V. Kelly MD, PC

  • Internal Medicine Physician
  • Bloomfield, NJ
  • NPI 1417065830
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1346235934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR",
            "address_2": "SUITE 1NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631025",
            "telephone_number": "708-361-5778",
            "fax_number": "708-361-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANDANG",
        "first_name": "GODOFREDO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "21622441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Cade
• Nicole Vincenza Calandriello, OTR/L
• Christopher Jon Calvert, M.D.
• Dana Calvin, ATC
• John P Campbell Jr., O.D.
• Francesco Cardella, APRN, CRNA
• Daniel L Cardwell, PA-C
• Carl J. Laudando
• Carmen Gnatenco M.D., S.C.
• Carr Eye Professionals (Palos Eye Professionals)

• Infectious Disease Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.