Individual provider Active NPI

Narendra Godbole, M.D.

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1396745956
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25557 Issued in AZ
Practice address
21681 N 77TH Ave Ste 1410
Peoria, AZ 85382-2133
Phone
(623) 312-2265
NPI assigned
Jul 26, 2005
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25557 AZ Primary

Addresses

Primary practice location

21681 N 77TH Ave Ste 1410
Peoria, AZ 85382-2133

Mailing address

21681 N 77TH Ave Ste 1410
Peoria, AZ 85382-2133
Phone (623) 312-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20101011001154 AZ Practitioner - Internal Medicine 7416147368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10230 W Happy Valley Pkwy
Suite 100
Peoria, AZ 85383-4692
Phone (623) 266-4699

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25557AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Primary Care Physicians, LLC CurrentSince Apr 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Summit Medical Group Arizona LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

5620 W Thunderbird Rd
Ste G2
Glendale, AZ 85306
Phone (602) 938-3600

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

10230 W Happy Valley Pkwy
Ste 100200
Peoria, AZ 85383

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

14050 N 83rd Ave
Ste 270
Peoria, AZ 85381

21681 N 77th Ave
Ste 1410
Peoria, AZ 85382
Phone (623) 312-2265

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9100 N 2nd St
Ste 121
Phoenix, AZ 85020
Phone (602) 943-4509

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

Interoperability endpoints

  • Direct secure messaging: ngodbole484332@direct.honorhealth.com

Organizations & group practices 9

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 3

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1396745956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE STE 1410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822133",
            "telephone_number": "623-312-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE STE 1410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822133",
            "telephone_number": "623-312-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "NARENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.