Godfrey S Chithambo, MD
Individual provider Active NPI Internal Medicine Physician · Sunnyvale, TX
NPI 1366470379 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1366470379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- K1395 (TX)
- Practice address
- 490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212 - Phone
- (972) 329-1996
- Fax
- (972) 329-0211
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Health Physicians Group
Practice addresses (Care Compare)
490 US Hwy 80 E
Suite 200
Sunnyvale, TX 75182-9220
Phone (972) 329-1996
Hospital & facility affiliations
- Homeland Home Health Agency Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051014000324 | TX | Practitioner - Internal Medicine | 0840215232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1395 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current |
Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
| Texas Health Physicians Group | Internal Medicine | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
3355 Trinity Mills Rd
Ste 211
Dallas, TX 75287
Phone (972) 739-3097
490 US Highway 80 E
Ste 200
Sunnyvale, TX 75182
Phone (214) 377-1753
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- gchithambo88625@direct.texashealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K1395 | TX | Yes |
Addresses
Primary practice location
490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212
Mailing address
490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212
Phone (972) 329-1996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142069701 | Medicaid | TX | |
| 142069702 | Medicaid | TX |
Other providers in Sunnyvale, TX
- Chartered Health Services, Inc.
- Chavez Dental PLLC
- Alex Ronnie Chavez
- Keely Chavez
- Ashley Chirayil
- Jelitta Cleatus
- Sereta Cohen
- Complete Surgical Assisting P.C.
- Ryan Sami Constantine
- Cornerstone Braces, Inc.
All providers in Sunnyvale, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.