LAIZ LAURA DE GODOY MD
NPI 1265123285
Radiology - Diagnostic Radiology in Philadelphia, PA

Q: What is Laiz Laura De Godoy's NPI number?

The NPI number for Laiz Laura De Godoy is 1265123285. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Q: What is Laiz Laura De Godoy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since May 19, 2023PECOS EnrolledAccepts Medicare Assignment

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-3000(215) 662-7011 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laiz Laura De Godoy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAIZ LAURA DE GODOY MD (NPI 1265123285) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489789) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1265123285

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameLAIZ LAURA DE GODOYCredential: MD

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4206

Mailing Address3400 Spruce St, 1 SilversteinPhiladelphia, PA 19104-4206 · (215) 662-3000 · Fax (215) 662-7011

Phone(215) 662-3000

Fax(215) 662-7011

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 19, 2023

Last NPPES UpdateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1265123285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in PA · MD489789✔ Licensed in NJ · 25MA12625400

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3400 SPRUCE ST, Philadelphia, PA 19104

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Secondary Practice Location 1

Location 14701 Pine St Apt K10Philadelphia, PA 19143-1880 · Phone (267) 275-2085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laiz Laura De Godoy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113430968

PECOS Enrollment IDI20250703000980, I20250703001242

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laiz Laura De Godoy's NPI number?

The NPI number for Laiz Laura De Godoy is 1265123285. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Laiz Laura De Godoy located?

Laiz Laura De Godoy practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-3000.

What is Laiz Laura De Godoy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Laiz Laura De Godoy enrolled in Medicare?

Yes. Laiz Laura De Godoy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Laiz Laura De Godoy affiliated with any hospitals?

According to CMS data, Laiz Laura De Godoy is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Laiz Laura De Godoy was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.