Active NPI 1518929611 Individual Practitioner Female Practitioner

Dr. Shirley Y Godiwalla , MD

General Practice • Pewaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Shirley Godiwalla, MD is a registered healthcare professional specializing in General Practice in Pewaukee, WI. Practice services are available at W283N3671 YORKSHIRE TRCE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

W283n3671 Yorkshire Trce

Pewaukee, WI 530723311

Telephone 2626953052

Associated Practice Facility / Clinic

🏢 Shirley Y Godiwalla M.d,s.c Facility NPI 1760430698

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pewaukee, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Pewaukee, WI (130 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

CMS Verified: 2021-06-25

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 2697320

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Urology

NUCC Taxonomy Code: 208800000X

State License WI 26973

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31392600 (WI)

Commercial Insurance / Payer ID Rr Medicare

340012140

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2014

Registered at W283N3671 YORKSHIRE TRCE, PEWAUKEE, WI 530723311 (Tel: 2626953052)

📍

Updated Business Mailing Address August 07, 2014

Registered at W283N3671 YORKSHIRE TRCE, PEWAUKEE, WI 530723311 (Tel: 2626953052)

👤

Provider Name / Credentials Updated August 07, 2014

Recorded as SHIRLEY GODIWALLA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Urology (License #26973 in WI)

🟢

Initial NPI Registration & Enumeration April 04, 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: 1518929611

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 04, 2006

Last Update: June 25, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

W283n3671 Yorkshire Trce

Pewaukee, WI 530723311

Phone: 2626953052

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.