DR. PRAVEEN S GODAY (MD) – Pediatric Gastroenterology Physician, NPI 1619928496
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PRAVEEN S GODAY (MD)
433 N Cleveland Ave
Westerville, OH 430828095
Phone: (614) 722-2000
Type: Location
185 W Schrock Rd
Westerville, OH 430812890
Phone: (614) 722-2000
Type: Location
479 Parsons Ave
Columbus, OH 432155577
Phone: (614) 722-5136
Type: Location
536 S Trimble Rd
Mansfield, OH 449063418
Phone: (614) 722-2000
Type: Location
830 W High St
Lima, OH 458013971
Phone: (614) 722-2000
Type: Location
5675 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Type: Location
4439 State Route 159
Chillicothe, OH 456018207
Phone: (614) 722-2000
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Location
9000, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
PEDIATRIC GASTROENTEROLOGY
MILWAUKEE, WI 532264874
Phone: (414) 266-3690
Fax: (414) 266-3676
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041209000508 | I | Gastroenterology | WI | TBD |
| I20220609002115 | I | Gastroenterology | OH | 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 43082)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Orthopedic Surgery | IL | |
| - | WI |
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