Individual provider Active NPI

Christoph Gelsdorf, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1063656908
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A113165 Issued in CA
Practice address
3569 Round Barn Cir
Santa Rosa, CA 95403
Phone
(707) 303-3600
Fax
(707) 303-3611
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A113165 CA Primary

Addresses

Primary practice location

3569 Round Barn Cir
Santa Rosa, CA 95403

Mailing address

3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403
Phone (707) 583-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000280 CA Practitioner - Internal Medicine 6709033806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4500

34 Mark W Springs Rd
Santa Rosa, CA 95403-1436

3883 Airway Dr
Santa Rosa, CA 95403-1671

Hospital & facility affiliations

  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113165CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers CurrentSince Apr 1, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Sutter West Bay Medical Foundation Family Medicine Past Accepting new patients

Locations

3569 Round Barn Cir
Ste 200
Santa Rosa, CA 95403
Phone (707) 583-8800

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

3569 Round Barn Cir
Santa Rosa, CA 95403

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1063656908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-583-8800",
            "fax_number": "707-583-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELSDORF",
        "first_name": "CHRISTOPH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A113165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.