Individual provider Active NPI

Gretchen G. Cordero, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1891774022
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35079191 Issued in OH
Practice address
395 W 12TH Ave
Columbus, OH 43210-1267
Phone
(614) 293-8315
Fax
(614) 293-6935
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35079191 OH Primary

Addresses

Primary practice location

395 W 12TH Ave
Columbus, OH 43210-1267

Mailing address

700 Ackerman Rd Ste 570
Columbus, OH 43202-1579
Phone (614) 293-8315

Other practice location 1

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

Other identifiers 1

IdentifierTypeStateIssuer
2272973MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040719000079 OH Practitioner - Diagnostic Radiology 0547249039 Reassigns benefits to 1 organization
I20251009000154 CA Practitioner - Diagnostic Radiology 0547249039 Reassigns benefits to 2 organizations
I20251027002231 IL Practitioner - Diagnostic Radiology 0547249039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Spectrum Imaging SCGroup PAC ID 3678892247, 41 clinicians

Practice addresses (Care Compare)

3945 Stapleford Dr
Columbus, OH 43230-8447
Phone (800) 695-8191

9095 Rio San Diego Dr
Suite 150
San Diego, CA 92108-1681
Phone (858) 200-3300

Merit-based Incentive Payment System (MIPS)

Final score
35.69 of 100Reported as group
Quality
0
Promoting interoperability
98
Improvement activities
0
Cost
33.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079191OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All-American Teleradiology LLC Diagnostic Radiology CurrentSince Aug 16, 2025 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Spectrum Imaging SC CurrentSince Oct 5, 2024 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Scancare Diagnostics LLC Past Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

9095 Rio San Diego Dr
Ste 150
San Diego, CA 92108
Phone (858) 200-3300

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gretchen.cordero@mmhs.medicity.net

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1891774022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021579",
            "telephone_number": "614-293-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Corporate Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607985",
            "country_code": "US",
            "telephone_number": "949-722-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "GRETCHEN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35079191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.