Individual provider Active NPI

Blair Gordon Gill, M.D.

  • Diagnostic Radiology Physician
  • Farmington, NM
National Provider Identifier
1124357926
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
292167-1 Issued in NY
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(505) 325-1572
Fax
(505) 327-4887
NPI assigned
Dec 8, 2009
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 292167-1 NY Primary
Diagnostic Radiology Physician 2085R0202X 2009036451 MO
Vascular & Interventional Radiology Physician 2085R0204X 2009036451 MO

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201218000811 AZ Practitioner - Diagnostic Radiology 4284602962 Reassigns benefits to 1 organization
I20260520003659 NM Practitioner - Diagnostic Radiology 4284602962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Dalhousie University, Faculty of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Four Corners Radiology Associates PCGroup PAC ID 7214928746, 8 clinicians

Practice addresses (Care Compare)

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (832) 915-2534

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (832) 915-2534

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (832) 915-2534

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (832) 915-2534

30115 N 129TH GLN
Peoria, AZ 85383-5280
Phone (832) 915-2534

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 325-1572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292167-1NYMDDiagnostic Radiology Physician
2009036451MOMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 8, 2021 Accepting new patients
Greeley County Health Services, Inc Past Accepting new patients
Greeley County Health Services, Inc. Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

1625 N Campbell Ave
Tucson, AZ 85719

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

4001 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 209-7000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7375 S Houghton Rd
Ste 115
Tucson, AZ 85747
Phone (520) 640-6300

7895 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 543-6770

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1124357926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071",
            "fax_number": "573-334-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "505-325-1572",
            "fax_number": "505-327-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BLAIR",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "292167-1",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2009036451",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2009036451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.