Individual provider Active NPI

Michael S Gordon, MD

  • Hematology & Oncology Physician
  • Scottsdale, AZ
National Provider Identifier
1114929114
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
28246 Issued in AZ
Practice address
9055 E del Camino Dr
Suite 100
Scottsdale, AZ 85258-2351
Phone
(480) 860-5000
Fax
(480) 314-0033
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 28246 AZ Primary

Addresses

Primary practice location

9055 E del Camino Dr
Suite 100
Scottsdale, AZ 85258-2351

Mailing address

9055 E del Camino Dr
Suite 100
Scottsdale, AZ 85258-2351
Phone (480) 860-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051118000510 AZ Practitioner - Hematology/Oncology 2264451244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York at Buffalo School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10460 N 92ND St
Suite 200
Scottsdale, AZ 85258-4547
Phone (855) 485-4673

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28246AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Apr 1, 2014 Accepting new patients
Honorhealth Ambulatory Hematology & Oncology Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Apr 1, 2014 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2017 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10460 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1573

Interoperability endpoints

  • Direct secure messaging: mgordon105988@direct.honorhealth.com
  • Direct secure messaging: mgordon@azpoh.direct.varian.com

Organizations & group practices 7

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 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1114929114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 E DEL CAMINO DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582351",
            "telephone_number": "480-860-5000",
            "fax_number": "480-314-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 E DEL CAMINO DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582351",
            "telephone_number": "480-860-5000",
            "fax_number": "480-314-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "28246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.