Active NPI
Gordian Ndubizu, D.O.
- Surgery Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H92614
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (301) 790-8380
- NPI assigned
- Mar 22, 2016
- Last updated
- May 19, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | H92614 | MD | Primary |
| Surgical Critical Care Physician | 2086S0102X | 1027567 | MA |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Other practice location 1
Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001
Phone (570) 271-6211
Other practice location 2
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 475-0831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, NJ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rowan University School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H92614 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Surgery | Current | Accepting new patients |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Surgery | Current | Accepting new patients |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Locations
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
435 S Crystal St
Ste 230
Butte, MT 59701
Phone (406) 723-2441
435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
2500 English Creek Ave
Ste 400
Egg Hbr Twp, NJ 08234
Phone (609) 677-7700
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Organizations & group practices 7
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.
-
dba ARMC Faculty Practice
- Internal Medicine Physician
- Atlantic City, NJ
- NPI 1568663250
Surgery
-
- Family Medicine Physician
- Butte, MT
- NPI 1477869600
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba Atlanticare Commuity Pharmacy - Atlantic City
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
dba Boulder Clinic - Family Medicine
- Rural Health Clinic/Center
- Boulder, MT
- NPI 1861031122
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1487016200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-790-8380"
}
],
"practiceLocations": [
{
"address_1": "Geisinger Medical Center 100 North Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-475-0831",
"fax_number": "508-856-4224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUBIZU",
"first_name": "GORDIAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "H92614",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MA",
"license": "1027567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.