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SHEFALI GODARA MD
NPI 1265886592
Internal Medicine - Pulmonary Disease in Reno, NV

Active since April 23, 2016PECOS EnrolledAccepts Medicare Assignment
91.59/100
CMS Quality Rating
645 N ARLINGTON AVE STE 525, RENO, NV 89503(775) 770-7527 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2022, Nov 15, 2022 (2 updates tracked since 2022).

About Shefali Godara Md NPPES

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

SHEFALI GODARA MD (NPI 1265886592) is an individual pulmonary disease provider in Reno, Nevada, licensed in Nevada (21807) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265886592
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSHEFALI GODARACredential: MD
Location Address645 N ARLINGTON AVE STE 525Reno, NV 89503-4452
Mailing Address645 N Arlington Ave Ste 525Reno, NV 89503-4452
Phone(775) 770-7527
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2016
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1265886592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NV · 21807
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 21807 (NV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
645 N ARLINGTON AVE STE 525, Reno, NV 89503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Shefali Godara 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 ID345531273
PECOS Enrollment IDI20240311000866
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
17 services17 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89503 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.05
Promoting Interoperability96.88
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. DAVID LESLIE SURUJPAUL MD
Family Medicine
645 N ARLINGTON AVE STE 525
RENO, NV 89503
Washoe County (775) 770-7664
CHRISTOPHER GAGE SATURNINO ABELLANA-PLATEROS
Nurse Practitioner (Primary Care)
645 N ARLINGTON AVE STE 525
RENO, NV 89503
Washoe County (775) 770-7664

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 Shefali Godara's NPI number?

The NPI number for Shefali Godara is 1265886592. It was assigned to this individual provider in the NPPES registry on April 23, 2016.

Where is Shefali Godara located?

Shefali Godara practices at 645 N Arlington Ave Ste 525, Reno, NV 89503. The listed phone number is (775) 770-7527.

What is Shefali Godara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shefali Godara enrolled in Medicare?

Yes. Shefali Godara 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.

What insurance does Shefali Godara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Shefali Godara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shefali Godara affiliated with any hospitals?

According to CMS data, Shefali Godara is affiliated with Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Shefali Godara was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.