Individual provider Active NPI

Barry Edmund Gordon, M.D.

  • Urology Physician
  • Gilbert, AZ
National Provider Identifier
1821074048
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23608 Issued in AZ
Practice address
2450 E Guadalupe Rd
#102
Gilbert, AZ 85234-5116
Phone
(480) 539-8300
Fax
(480) 539-8311
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23608 AZ Primary

Addresses

Primary practice location

2450 E Guadalupe Rd
#102
Gilbert, AZ 85234-5116

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

Other identifiers 1

IdentifierTypeStateIssuer
327074MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000470 AZ Practitioner - UrologyPractitioner - Internal Medicine 8325003783 Reassigns benefits to 2 organizations
Practice locations: Gilbert, AZ; Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Internal Medicine
Education
University of New Mexico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Urology Center PLCGroup PAC ID 5890072987, 9 clinicians

Practice addresses (Care Compare)

6116 E Arbor Ave
Suite 108
Mesa, AZ 85206-6103
Phone (480) 219-1010

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.58 of 100Reported as group
Quality
96.98
Improvement activities
40
Cost
72.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23608AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Radiation Oncology Inc CurrentSince Jun 1, 2024 Accepting new patients
Ironwood Physicians, PC CurrentSince Dec 10, 2012 Accepting new patients
Ironwood Physicians, PC Urology CurrentSince Dec 10, 2012 Accepting new patients
Urologic Consultants PC Urology PastSince Jan 1, 1990 Accepting new patients
Banner Baywood Medical Center Past Accepting new patients

Locations

2450 E Guadalupe Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 539-8300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6116 E Arbor Ave
Ste 108
Mesa, AZ 85206
Phone (480) 219-1010

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

1155 E Combs Rd
Ste 105
San Tan Valley, AZ 85140
Phone (480) 219-1010

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1821074048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD",
            "address_2": "#102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "480-539-8300",
            "fax_number": "480-539-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BARRY",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "23608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327074",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.