Individual provider Active NPI

Ross Gregory Gaudet, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Greenbrae, CA
National Provider Identifier
1356616619
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
163250 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7100
NPI assigned
Mar 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 288790 NY
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 163250 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

PO Box 527
Larkspur, CA 94977-0527
Phone (504) 782-1362

Other identifiers 1

IdentifierTypeStateIssuer
2300512MedicaidLA

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
I20200113002710 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 6406158153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesiology Consultants of MarinGroup PAC ID 1658365150, 32 clinicians
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163250CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants of Marin CurrentSince Feb 3, 2020 Accepting new patients
Regents Univ of California UCSF CurrentSince Aug 27, 2020 Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Feb 2, 2021 Accepting new patients
University of Chicago Medical Center Past Accepting new patients

Locations

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

1100 S Eliseo Dr
Ste 107
Greenbrae, CA 94904
Phone (415) 464-8688

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

120 Ward St
Ste 527
Larkspur, CA 94939

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

2801 Eureka Way
Redding, CA 96001
Phone (530) 246-9000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: rgaudet161098@direct-ucsfmedicalcenter.org
  • Direct secure messaging: rgaudet578400@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1356616619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949770527",
            "telephone_number": "504-782-1362",
            "fax_number": "903-787-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET",
        "first_name": "ROSS",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "288790",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "163250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300512",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.