Individual provider Active NPI

Andrew Gorman, DO

  • Neurology Physician
  • Sun City, AZ
National Provider Identifier
1265403513
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3871 Issued in AZ
Practice address
10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351-3015
Phone
(855) 506-3876
Fax
(855) 523-0513
NPI assigned
Jan 26, 2006
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3871 AZ
Neurology Physician 2084N0400X 3871 AZ Primary
Psychiatry Physician 2084P0800X 3871 AZ
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 3871 AZ

Addresses

Primary practice location

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351-3015

Mailing address

PO Box 2099
85372-2099
Sun City, AZ 85372-2099
Phone (855) 506-3876

Other identifiers 1

IdentifierTypeStateIssuer
779308MedicaidAZ

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
I20041025001058 AZ Practitioner - Neurology 7810958535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Neurology Associates PLLCGroup PAC ID 7214226455, 5 clinicians

Practice addresses (Care Compare)

10474 W Thunderbird Blvd
Suite 200
Sun City, AZ 85351-3015
Phone (623) 377-7410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.86 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3871AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Neurology Associates PLLC Neurology CurrentSince Feb 29, 2016 Accepting new patients
Sunterra Oncology Associates LLC Specialist Past Accepting new patients
Sun Health MRI Center Past Accepting new patients
Arizona Neurological Institute, PC Specialist Past Accepting new patients

Locations

18700 N 64th Dr
Ste 108
Glendale, AZ 85308
Phone (602) 561-7140

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

10474 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 219-4475

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 219-4475

10474 W Thunderbird Blvd
Ste 201
Sun City, AZ 85351
Phone (623) 377-7410

14418 W Meeker Blvd
Ste 110
Sun City West, AZ 85375
Phone (623) 377-7410

14420 W Meeker Blvd
Ste A105
Sun City West, AZ 85375

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 2

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1265403513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "address_2": "85372-2099",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853722099",
            "telephone_number": "855-506-3876",
            "fax_number": "855-523-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD",
            "address_2": "STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513015",
            "telephone_number": "855-506-3876",
            "fax_number": "855-523-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3871",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "3871",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "3871",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "AZ",
            "license": "3871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779308",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.