Individual provider Active NPI

Gary Morton Annunziata, D.O.

  • Gastroenterology Physician
  • Rancho Mirage, CA
National Provider Identifier
1861447302
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
020A66500 Issued in CA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000740 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1153357488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Chicago College of Osteopathy, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy335
Upper gastrointestinal (GI) endoscopy for acid reflux325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020A66500CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Aug 1, 2017 Accepting new patients
United Medical Doctors Gastroenterology CurrentSince Aug 1, 2017 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

  • FHIR API: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.