NPIMap

Individual provider Active NPI

Danielle J Godinez, DO

  • Family Medicine Physician
  • Saxonburg, PA
National Provider Identifier
1518978758
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012208 Issued in PA
Practice address
333 W Main St
Saxonburg, PA 16056-2255
Phone
(724) 352-8422
Fax
(724) 352-8426
NPI assigned
Aug 11, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012208 PA Primary

Addresses

Primary practice location

333 W Main St
Saxonburg, PA 16056-2255

Mailing address

333 W Main St
Saxonburg, PA 16056-2255
Phone (724) 352-8422

Other identifiers 2

IdentifierTypeStateIssuer
211839OtherPAUPMC
101099708MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, VA, WV, DE, IN6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20100610000382 PA Practitioner - Family Practice 0042340580 Practice locations: Saxonburg, PA
I20210319000911 OH Practitioner - Family Practice 0042340580 Reassigns benefits to 1 organization
I20210929003661 VA Practitioner - Family Practice 0042340580 Reassigns benefits to 1 organization
I20240311001647 WV Practitioner - Family Practice 0042340580 Reassigns benefits to 1 organization
I20240513002991 DE Practitioner - Family Practice 0042340580 Reassigns benefits to 1 organization
I20251101000072 IN Practitioner - Family Practice 0042340580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4050WVMDOral and Maxillofacial Radiology Dentist
OS012208PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Embassy Saxonburg LLC Past Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgodinez20267@carelonhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Embassy of SaxonburgSaxonburg, PA, CCN 395160 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1518978758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160562255",
            "telephone_number": "724-352-8422",
            "fax_number": "724-352-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160562255",
            "telephone_number": "724-352-8422",
            "fax_number": "724-352-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "211839",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101099708",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saxonburg, PA

Sources for this page

Verify at the official NPI Registry.