NPIMap

Individual provider Active NPI

Abhijit Moreshwar Godbole, MD

  • Hematology & Oncology Physician
  • Little Rock, AR
National Provider Identifier
1609135797
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E-11865 Issued in AR
Practice address
10001 Lile Dr
Little Rock, AR 72205-6217
Phone
(501) 552-6100
Fax
(501) 552-6199
NPI assigned
May 9, 2012
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-11865 AR
Internal Medicine Physician 207R00000X MD455432 PA
Hematology & Oncology Physician 207RH0003X E-11865 AR Primary

Addresses

Primary practice location

10001 Lile Dr
Little Rock, AR 72205-6217

Mailing address

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 552-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001159 AR Practitioner - Hematology/Oncology 2062728546 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

10001 Lile Dr
FL 2
Little Rock, AR 72205-6217
Phone (501) 552-6100

700 W Grove St
El Dorado, AR 71730-4416
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455432PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Nov 10, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2020 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 19, 2024 Accepting new patients
St. Vincent Medical Group Internal Medicine CurrentSince Apr 26, 2024 Accepting new patients
Baptist Health Current Accepting new patients
Baptist Health Hematology & Oncology CurrentSince Jan 23, 2024 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2020 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Jun 8, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
HCC of Magnolia LLC CurrentSince Apr 20, 2024 Accepting new patients
Ess of El Dorado, LLC CurrentSince Nov 10, 2021 Accepting new patients
Baptist Health Hematology & Oncology CurrentSince Jan 23, 2024 Accepting new patients
Jefferson Hospital Association, Inc Hematology & Oncology CurrentSince Feb 1, 2021 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

10001 Lile Dr
Fl 2
Little Rock, AR 72205
Phone (501) 552-5550

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

1811 Rahling Rd
Ste 120
Little Rock, AR 72223
Phone (501) 214-2360

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

206 S 1st St
#206
McGehee, AR 71654

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

778 Scogin Dr
Ste 180
Monticello, AR 71655
Phone (870) 460-3592

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 205
Pine Bluff, AR 71603
Phone (870) 534-1188

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

4310 S Mulberry St
Pine Bluff, AR 71603
Phone (870) 534-1188

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Interoperability endpoints

  • Direct secure messaging: abhijit.godbole@svmgs.eclinicaldirectplus.com
  • Direct secure messaging: agodbole456694@direct.stlukeshealth.org
  • Direct secure messaging: agodbole478289@direct.baptist-healthar.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1609135797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-552-6100",
            "fax_number": "501-552-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-552-6100",
            "fax_number": "501-552-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "ABHIJIT",
        "middle_name": "MORESHWAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-11865",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD455432",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.