NPIMap

Individual provider Active NPI

Stephen Edward Godar, MD

  • Internal Medicine Physician
  • Fort Morgan, CO
National Provider Identifier
1992719876
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34790 Issued in CO
Practice address
231 Prospect Ave
Suite a
Fort Morgan, CO 80701
Phone
(970) 867-4911
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic Inc 117 clinicians

Practice addresses (Care Compare)

1280 Village Rd
Avon, CO 81620-5374
Phone (970) 949-0800

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

Hospital & facility affiliations

  • Vail Health Hospital Hospital, Vail, CO, CCN 060096

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040322001831 CO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7517858368 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34790COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VVMC Diversified Services CurrentSince Dec 25, 2017 Accepting new patients
Vail Clinic, Inc. CurrentSince Oct 23, 2011 Accepting new patients
VVMC Diversified Services Internal Medicine CurrentSince Dec 25, 2017 Accepting new patients
VVMC Diversified Services Current Accepting new patients
Vail Clinic, Inc. CurrentSince Oct 23, 2011 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 479-7251

180 S Frontage Rd W
Ste 5900
Vail, CO 81657
Phone (970) 479-5036

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34790 CO Primary
Pediatrics Physician 208000000X 34790 CO

Addresses

NPPES NPI Registry

Primary practice location

231 Prospect Ave
Suite a
Fort Morgan, CO 80701

Mailing address

PO Box 905
Fort Morgan, CO 80701
Phone (970) 867-4911

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
21227039MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2008.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1992719876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-867-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 PROSPECT AVE",
            "address_2": "SUITE A",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-867-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODAR",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34790",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21227039",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.