Active NPI
Joseph R Gottesman, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Chandler, AZ
National Provider Identifier
1750334850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 08308
- Practice address
- 655 S Dobson Rd
Suite 201-a
Chandler, AZ 85224-5667 - Phone
- (480) 821-3821
- Fax
- (480) 857-4396
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 08308 | AZ | Primary |
Addresses
Primary practice location
655 S Dobson Rd
Suite 201-a
Chandler, AZ 85224-5667
Mailing address
655 S Dobson Rd
Suite 201-a
Chandler, AZ 85224-5667
Phone (480) 821-3821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| : 08308 | Other | AZ | MEDICAL LICENSE |
| 230334 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08308 | AZ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physicians Group, PLLC | Pain Medicine | Past | Accepting new patients |
| Next Level Facility LLC | Past | Accepting new patients | |
| Desert Kidney Associates PLC | Past | Accepting new patients | |
| Health & Pain Centre, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4
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.
-
- Nephrology Physician
- Mesa, AZ
- NPI 1144372905
-
- Family Nurse Practitioner
- Mesa, AZ
- NPI 1740514538
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1558135756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1750334850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "SUITE 201-A",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-821-3821",
"fax_number": "480-857-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "SUITE 201-A",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245667",
"telephone_number": "480-821-3821",
"fax_number": "480-857-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTESMAN",
"first_name": "JOSEPH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": "08308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": ": 08308",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230334",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.