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DR. FREDERICK AUGUSTUS GODLEY IV MD, MBA, MS
NPI 1831719046
Surgery in Chicago, IL

Active since April 17, 2020PECOS Enrolled
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-2500 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Apr 17, 2020 (2 updates tracked since 2020).

About Dr. Frederick Augustus Godley Iv Md, Mba, Ms NPPES

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

DR. FREDERICK AUGUSTUS GODLEY IV MD, MBA, MS (NPI 1831719046) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125.075458) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831719046
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. FREDERICK AUGUSTUS GODLEY IVCredential: MD, MBA, MS
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-2500
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1831719046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125.075458
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.075458 (IL)
5841 S MARYLAND AVE # MC1052, Chicago, IL 60637
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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. Frederick Augustus Godley Iv Md, Mba, Ms 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

DR. DERRIUS J. ANDERSON MD
Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-2500
JI SOO KIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-0529
DR. CANDACE WILSON MD
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
MEGHAM TWISS
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-4281
MELISSA YUWONO TJOTA MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-7708
MICHEAL EZEANA
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
FRAZER TESSEMA MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-1447
BREANNA CHANDLER MD
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-0820

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 Frederick Godley's NPI number?

The NPI number for Frederick Godley is 1831719046. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Frederick Godley located?

Frederick Godley practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 702-2500.

What is Frederick Godley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Frederick Godley enrolled in Medicare?

Yes. Frederick Godley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Godley was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.