MARYAN GODOY (NP) – Nurse Practitioner, NPI 1851024384
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MARYAN GODOY (NP)
2418 W Division St
Chicago, IL 606222940
Phone: (312) 666-3494
Type: Location
1701 W Superior St Fl 3
Chicago, IL 606225646
Phone: (312) 666-3494
Type: Location
1701 W SUPERIOR ST FL 3
CHICAGO, IL 606225646
Phone:
Type: Mailing
2418 W DIVISION ST
CHICAGO, IL 606222940
Phone: (312) 666-3494
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Fax: (847) 390-4757
Type: Mailing
4440 W 95TH ST FL 8
OAK LAWN, IL 604532600
Phone: (708) 684-4200
Fax: (708) 520-1885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Tempus AI, Inc ($94).
Total Amount
$117
General + Research + Ownership
Payments
2
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $94 |
| AstraZeneca Pharmaceuticals LP | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220831002285 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60622)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NC | |
| Nurse Practitioner | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL |
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