Active NPI
Gary Morton Annunziata, D.O.
- Gastroenterology Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 020A66500
- Practice address
- 35900 Bob Hope Dr
Ste 275
Rancho Mirage, CA 92270-1766 - Phone
- (760) 321-2500
- Fax
- (760) 321-5720
- NPI assigned
- May 23, 2006
- Last updated
- Dec 13, 2010
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 020A66500 | CA | Primary |
Addresses
Primary practice location
35900 Bob Hope Dr
Ste 275
Rancho Mirage, CA 92270-1766
Mailing address
35900 Bob Hope Dr
Ste 275
Rancho Mirage, CA 92270-1766
Phone (760) 321-2500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Chicago College of Osteopathy, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 335 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 325 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020A66500 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current | Accepting new patients | |
| United Medical Doctors | Gastroenterology | Current | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
35900 Bob Hope Dr
Ste 275
Rancho Mirage, CA 92270
Phone (760) 321-2500
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
-
- Gastroenterology Physician
- Rancho Mirage, CA
- NPI 1275721888
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1861447302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35900 BOB HOPE DR",
"address_2": "STE 275",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701766",
"telephone_number": "760-321-2500",
"fax_number": "760-321-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35900 BOB HOPE DR",
"address_2": "STE 275",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701766",
"telephone_number": "760-321-2500",
"fax_number": "760-321-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNUNZIATA",
"first_name": "GARY",
"middle_name": "MORTON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "020A66500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Dan L Andrus, MD
- Anestheticare Anesthesiology Associates Inc
- Grace Vergara Angus-Amersbach, MSN, CCRN, NP
- Anh T. Duong, M.D., a Professional Corp
- Annette Bak Moranda DDS, a Dental Corporation
- Anthony Nelson MD a Medical Corporation
- Anthony S Tornay Jr M D Inc
- Joseph Tyler Antico, LCSW
- Francis Aldrin Tobias Apacible, FNP-C
- Gregory Michael Apel, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.