NIKHIL JAI GODBOLE (DO) – Ophthalmology Physician, NPI 1205259116

NIKHIL JAI GODBOLE (DO) is a healthcare provider. based in Jbsa lackland, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. S3174 (TX). The NPI Number for NIKHIL JAI GODBOLE (DO) is 1205259116

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NIKHIL JAI GODBOLE (DO)
NPI
1205259116
Phone
(210) 292-4277
Address
1100 Wilford Hall Loop Bldg 4554
Enumeration Date
28 January 2014
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2538483000
Graduation Year
2014 (12 years ago)
PAC ID
8224360573
Group Practice PAC ID
4486541554
Professional Enrollment ID
I20220428002794
Address ID
WA983717590PU1703XMERI301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for NIKHIL JAI GODBOLE (DO)

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 782365638

    Phone: (210) 292-4277

    Type: Location

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone:

    Type: Mailing

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (253) 968-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,084.

Total Amount is formed as General ($1,084) + Research ($0) + Ownership ($0) = $1,084.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($766).

Total Amount

$1,084

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,084

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-04-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200504001293IOphthalmologyTXTBD
I20220428002794IOphthalmologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system523493$0
92134Imaging of retina233219$0
92004New patient complete exam of visual system232232$0
92136Measurement of corneal curvature and depth of eye199120$0
66984Removal of cataract with insertion of prosthetic lens179108$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486541554View full group profile
NameSpecialtyState
-WA
D E R M A T O L O G YWA
-WA
Physician AssistantWA
Physician AssistantWA
Micrographic Dermatologic Surgery (Mds), DermatologyWA
O P H T H A L M O L O G YWA
-WA
-WA
Physician AssistantWA

Reviews

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Frequently asked questions

What unique ID ties claims to NIKHIL JAI GODBOLE (DO)?
NPI 1205259116 is assigned to NIKHIL JAI GODBOLE (DO) under the national enumeration system.
Is NIKHIL JAI GODBOLE (DO) active in the national directory?
NIKHIL JAI GODBOLE (DO)'s public NPI profile is in an active state.
Can you summarize NIKHIL JAI GODBOLE (DO)'s specialty in plain language?
Clinically, the directory lists NIKHIL JAI GODBOLE (DO) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for NIKHIL JAI GODBOLE (DO)?
We surface Jbsa Lackland, Texas for NIKHIL JAI GODBOLE (DO) based on available NPPES addresses.
What if Jbsa Lackland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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