Individual provider Active NPI

Aaron Michael Gipsman, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Pasadena, CA
National Provider Identifier
1669854923
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A145730 Issued in CA
Practice address
959 E Walnut St Ste 220
Pasadena, CA 91106-5363
Phone
(626) 517-0022
NPI assigned
Jun 23, 2015
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A145730 CA Primary

Addresses

Primary practice location

959 E Walnut St Ste 220
Pasadena, CA 91106-5363

Mailing address

959 E Walnut St Ste 220
Pasadena, CA 91106-5363
Phone (626) 517-0022

Other identifiers 1

IdentifierTypeStateIssuer
1669854923MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pasadenaorthopedics.com

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
I20210629002203 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8628353455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pasadena Orthopedics IncGroup PAC ID 5799090809, 8 clinicians

Practice addresses (Care Compare)

959 E Walnut St
Suite 150
Pasadena, CA 91106-5342
Phone (626) 517-0022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145730CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Orthopedics Inc Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

959 E Walnut St
Ste 150
Pasadena, CA 91106
Phone (626) 449-3033

959 E Walnut St
Ste 220
Pasadena, CA 91106
Phone (626) 517-0022

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 1

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1669854923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065363",
            "telephone_number": "626-517-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065363",
            "telephone_number": "626-517-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSMAN",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A145730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669854923",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pasadenaorthopedics.com",
            "affiliation": "N",
            "address_1": "959 E Walnut St Ste 220",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911065363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.