Active NPI
Angela Lynn Godejohn, M.D.
- Family Medicine Physician
- Oskaloosa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40732
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577-4246 - Phone
- (641) 672-3360
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26581 | WV | |
| Family Medicine Physician | 207Q00000X | 01055006A | IN | |
| Family Medicine Physician | 207Q00000X | 40732 | IA | Primary |
Addresses
Primary practice location
1229 C Ave E
Oskaloosa, IA 52577-4246
Mailing address
1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55006A | Medicaid | SC | |
| P00756632 | Other | SC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mahaska County Hospital
Practice addresses (Care Compare)
201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361
Hospital & facility affiliations
- Mahaska Health Partnership
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40732 | IA | MD | Family Medicine Physician |
| 01055006A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahaska County Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Mahaska County Hospital | Family Medicine | Current | Accepting new patients |
| Eastern Iowa Health Center | Family Medicine | Past | Accepting new patients |
| Eastern Iowa Health Center | Past | Accepting new patients | |
| Mahaska County Hospital | Past | Accepting new patients |
Locations
1229 C Ave E
Ste 300
Oskaloosa, IA 52577
Phone (641) 672-3159
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360
Interoperability endpoints
- agodejohn130636@direct.unitypoint.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
-
- Family Medicine Physician
- Oskaloosa, IA
- NPI 1407869852
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1346048675
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
-
- Medicare Defined Swing Bed Hospital Unit
- Oskaloosa, IA
- NPI 1275513988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1699738880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3360",
"fax_number": "304-285-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODEJOHN",
"first_name": "ANGELA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "26581",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01055006A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "40732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55006A",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00756632",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.