Gene Godoy, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0065758 Issued in FL

Practice address

790 Ives Dairy Rd
North Miami Beach, FL 33179-2425

Phone

(305) 405-0365

Fax

(305) 405-0370

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JICADA
• Direct secure messaging: gene.godoy@ahcpllc.eclinicaldirectplus.com

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.

• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742

  Family Medicine

  Medicare reassignment NPD
• Sunsouth St. Jude Health Care, LLC

  • General Practice Physician
  • Pembroke Pines, FL
  • NPI 1548037807
  Medicare reassignment NPD
• Access Health Care LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1043453020
  NPD (past)
• Unity Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1720324627
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1710001565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 IVES DAIRY RD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792425",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 IVES DAIRY RD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792425",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0065758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376822800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME0065758",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "26390X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Givenscare LLC
• Glades Medical Centers Foundation, Inc.
• Glades Medical Centers, L.L.C
• Cliff Glasser, D.O.
• GLX Enterprise Services Inc
• Victor Goins Jr., DPT
• Jessica Golan, MS,OTR/L
• Gold Coast Consulting Group
• Gold Star Medical Services Inc
• Golden Bay I, Inc.

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.