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DR. TRACY S GODFREY MD
NPI 1265189153
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since March 09, 2022PECOS Enrolled
421 WHITNEY AVE APT 4, NEW HAVEN, CT 06511(203) 215-5074 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tracy S Godfrey Md NPPES

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

DR. TRACY S GODFREY MD (NPI 1265189153) is an individual student in an organized health care education/training program in New Haven, Connecticut, licensed in Puerto Rico (16088-I) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265189153
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TRACY S GODFREYCredential: MD
Location Address421 WHITNEY AVE APT 4New Haven, CT 06511-2342
Mailing Address421 Whitney Ave Apt 4New Haven, CT 06511-2342 · (203) 215-5074
Phone(203) 215-5074
Sole ProprietorYes
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1265189153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PR · 16088-I
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
421 WHITNEY AVE APT 4, New Haven, CT 06511
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy S Godfrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Tracy Godfrey's NPI number?

The NPI number for Tracy Godfrey is 1265189153. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Tracy Godfrey located?

Tracy Godfrey practices at 421 Whitney Ave Apt 4, New Haven, CT 06511. The listed phone number is (203) 215-5074.

What is Tracy Godfrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tracy Godfrey enrolled in Medicare?

Yes. Tracy Godfrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Godfrey was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.