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Active NPI 1003996125 Individual Practitioner Male Practitioner

Dr. Mukund Godbole , MD

Surgery • Monmouth, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mukund Godbole, MD is a registered healthcare professional specializing in Surgery in Monmouth, IL. Practice services are available at 1000 W HARLEM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 W Harlem Ave

Monmouth, IL 614621007

Telephone 3097343141
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Monmouth, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Monmouth, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MS 17209

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02820846 (MS)
Commercial Insurance / Payer ID Medicare Cahaba
C03242 (MS)
Commercial Insurance / Payer ID Palmetto Medicare Railroa
P00269826 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Grace Komolafe , MD

Emergency Medicine

NPI 1053790816

Doctor of Medicine (M.D.)

Tonya Gibbs , APN

Nurse Practitioner

NPI 1205482254

Advanced Practice Nurse

NPI 1265659007

Licensed Clinical Social Worker, Certified Alcohol and Drug Counselor

Jamie Weyant , MS RD LDN

Dietitian, Registered

NPI 1467448076

MSRDLDN

John Knapek

Pharmacist

NPI 1477549046
Michael Raymond , LPC

Counselor - Professional

NPI 1477964880

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2014

Registered at 1000 W HARLEM AVE, MONMOUTH, IL 614621007 (Tel: 3097343141)

📍
Updated Business Mailing Address May 16, 2014

Registered at 1000 W HARLEM AVE, MONMOUTH, IL 614621007 (Tel: 3097343141)

👤
Provider Name / Credentials Updated May 16, 2014

Recorded as MUKUND GODBOLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Surgery (License #17209 in MS)

🟢
Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003996125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: May 16, 2014
Sole Proprietor: No

Mailing Address

1000 W Harlem Ave

Monmouth, IL 614621007

Phone: 3097343141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.