Active NPI
Martin N Gordon, M.D.
- Pulmonary Disease Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G31316
- Practice address
- 9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928 - Phone
- (310) 432-4260
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G31316 | CA | Primary |
Addresses
Primary practice location
9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928
Mailing address
9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928
Phone (310) 432-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G313160 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Icahn School of Medicine at Mount Sinai, 1973
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2947
Phone (310) 432-4260
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31316 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin N Gordon MD | Pulmonary Disease | Current | Accepting new patients |
| Martin N Gordon MD | Pulmonary Disease | Current | Accepting new patients |
Locations
9001 Wilshire Blvd
Ste 307
Beverly Hills, CA 90211
Phone (310) 275-1724
9401 Wilshire Blvd
Ste 515
Beverly Hills, CA 90212
Phone (310) 432-4260
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Beverly Hills, CA
- NPI 1184812489
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tarzana, CA
- NPI 1902367865
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Encino, CA
- NPI 1326645672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1447353313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 WILSHIRE BLVD",
"address_2": "SUITE 515",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122928",
"telephone_number": "310-432-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 WILSHIRE BLVD",
"address_2": "SUITE 515",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122928",
"telephone_number": "310-432-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARTIN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G31316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G313160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.