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GODA ORENTAITE PA-C
NPI 1861114373
Physician Assistant in Evergreen Park, IL

Active since September 13, 2022PECOS Enrolled
9760 S KEDZIE AVE STE 3, EVERGREEN PARK, IL 60805(708) 423-6209 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2022, Sep 13, 2022 (2 updates tracked since 2022).

About Goda Orentaite Pa-c NPPES

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

GODA ORENTAITE PA-C (NPI 1861114373) is an individual physician assistant in Evergreen Park, Illinois and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861114373
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGODA ORENTAITECredential: PA-C
Location Address9760 S KEDZIE AVE STE 3Evergreen Park, IL 60805-3184
Mailing Address9760 S Kedzie Ave Ste 3Evergreen Park, IL 60805-3184 · (708) 423-6209
Phone(708) 423-6209
Sole ProprietorYes
Enumeration DateSeptember 13, 2022
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1861114373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9760 S KEDZIE AVE STE 3, Evergreen Park, IL 60805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goda Orentaite Pa-c 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 60805 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 3

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

PRADEEP JOHN DARSIPUDI
Physician Assistant
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209
JESSICA BERGER PA-C
Physician Assistant
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209
MS. KERI ANNE BRACH APRN
Nurse Practitioner (Family)
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209

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 Goda Orentaite's NPI number?

The NPI number for Goda Orentaite is 1861114373. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Goda Orentaite located?

Goda Orentaite practices at 9760 S Kedzie Ave Ste 3, Evergreen Park, IL 60805. The listed phone number is (708) 423-6209.

What is Goda Orentaite's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Goda Orentaite enrolled in Medicare?

Yes. Goda Orentaite is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Goda Orentaite was last updated on September 19, 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.