Active NPI
James M Gordon, M.D.
- Gastroenterology Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 36171
- Practice address
- 13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846 - Phone
- (623) 876-3900
- Fax
- (623) 876-6965
- NPI assigned
- Jan 4, 2006
- Last updated
- Nov 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 36171 | AZ | |
| Gastroenterology Physician | 207RG0100X | 36171 | AZ | Primary |
Addresses
Primary practice location
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Mailing address
14416 W Meeker Blvd
Suite 201
Sun City West, AZ 85375-5284
Phone (623) 583-5273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211510 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Gastroenterology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14416 W Meeker Blvd
Sun City, AZ 85375-5284
Phone (623) 876-3800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 76.35
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 210 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 263 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36171 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Pradeep K Agarwal, MD LLC | Past | Accepting new patients | |
| Arizona Digestive Health, PC | Gastroenterology | Past | Accepting new patients |
Locations
1125 S Alma School Rd
Ste 210
Chandler, AZ 85286
Phone (480) 256-4900
1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1520 S Dobson Rd
Ste 203
Mesa, AZ 85202
Phone (480) 412-8080
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
13640 N Plaza del Rio Blvd
Ste 230
Peoria, AZ 85381
Phone (623) 876-3810
13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083
14416 W Meeker Blvd
Ste 201
Sun City West, AZ 85375
14416 W Meeker Blvd
Ste 300
Sun City West, AZ 85375
Phone (623) 876-3810
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Cardiovascular Disease Physician
- Peoria, AZ
- NPI 1104259639
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1780662320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14416 W MEEKER BLVD",
"address_2": "SUITE 201",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755284",
"telephone_number": "623-583-5273",
"fax_number": "623-583-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 N PLAZA DEL RIO BLVD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814846",
"telephone_number": "623-876-3900",
"fax_number": "623-876-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "36171",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "36171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211510",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.