Individual provider Active NPI

Kathleen Ann Gorgos

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1124725437
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
659343 Issued in NY
Practice address
850 Park Ave
Binghamton, NY 13903-6014
Phone
(607) 242-4655
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 659343 NY Primary

Addresses

Primary practice location

850 Park Ave
Binghamton, NY 13903-6014

Mailing address

850 Park Ave
Binghamton, NY 13903-6014
Phone (607) 242-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231107001096 NY Practitioner - Nurse Practitioner 7416304811 Reassigns benefits to 1 organization
I20241119000319 PA Practitioner - Nurse Practitioner 7416304811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, shared by 5 NPIs, 795 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

2517 Vestal Pkwy E
Vestal, NY 13850-2020
Phone (607) 798-1452

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
659343NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Aug 15, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 16, 2023 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 16, 2023 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1336 Cedar St
Elmira, NY 14904
Phone (607) 734-3929

3344 Chambers Rd
Horseheads, NY 14845
Phone (607) 734-2264

2517 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 798-1452

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: kgorgos188353@direct-guthrie.org

Organizations & group practices 5

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 4

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1124725437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139036014",
            "telephone_number": "607-242-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139036014",
            "telephone_number": "607-242-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGOS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "659343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.