Anthony K Gordon, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G59522 Issued in CA

Practice address

165 Rowland Way Ste 208
Novato, CA 94945

Phone

(415) 429-4225

Fax

(415) 202-6228

NPI assigned

Mar 29, 2006

Last updated

May 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, CA, TX3 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

Specialty

Diagnostic Radiology

Education

Medical College of Georgia School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Medical Center Hospital, Modesto, CA, CCN 050464
• Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 117)

Interoperability endpoints

• Direct secure messaging: agordon446345@hisp.ehr.sutterhealth.org
• FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic

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.

• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547
  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931
  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  CA, Specialist

  Medicare reassignment NPD
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  CA

  Medicare reassignment NPD
• Ellis Bandt Birkin Kollins & Wong PLLC

  dba Desert Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678

  CA

  Medicare reassignment NPD
• Greensboro Radiology, PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1821035999

  CA

  Medicare reassignment NPD
• Imaging Associates of Michigan PLLC

  • Diagnostic Radiology Physician
  • Marquette, MI
  • NPI 1164943007

  CA

  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  CA

  Medicare reassignment NPD
• North Pittsburgh Imaging Specialists LLC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1962442236

  CA

  Medicare reassignment NPD
• Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1013960657

  CA

  Medicare reassignment NPD
• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710

  CA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Sonora Community Hospital

  dba Sierra Cardiology Department

  • Cardiovascular Disease Physician
  • Sonora, CA
  • NPI 1003807066

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Foothill Primary Care

  • General Practice Physician
  • Sonora, CA
  • NPI 1063403129

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Groveland Family Medical Center

  • Family Medicine Physician
  • Groveland, CA
  • NPI 1356332274

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Arnold Family Medical Center

  • Family Medicine Physician
  • Arnold, CA
  • NPI 1467443382

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Sierra Vascular Clinic

  • Vascular Surgery Physician
  • Sonora, CA
  • NPI 1598962045

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Cedarwood Internal Medicine

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1659362614

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Twain Harte Family Medical Center

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1740271345

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Adventist Health Sonora

  • General Acute Care Hospital
  • Sonora, CA
  • NPI 1780673376
  Care Compare affiliation
• Sonora Community Hospital

  dba Angels Camp Family Medical Center

  • Family Medicine Physician
  • Angels Camp, CA
  • NPI 1821089749

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Adventist Health Sonora

  • Radiation Oncology Clinic/Center
  • Sonora, CA
  • NPI 1891732418

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1912968041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY STE 208",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455055",
            "telephone_number": "415-429-4225",
            "fax_number": "415-202-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY STE 208",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-429-4225",
            "fax_number": "415-202-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANTHONY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031432",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G59522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000449765AA",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER FOR OMRIB",
            "identifier": "202I300099",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Louise Goldie-Marcus, L.C.S.W.
• Larrie Goldsmith, D.C.
• Keri Gomez
• Jeannie Marie Goodfield
• David Edward Goodman, M.D., M.S.E.
• Barbara Jean Gosselin, LMFT
• Grace &Hope Homecare LLC
• Mackenzie Graham
• Karen Howe Grant
• Neneng Bretan Grauss, PHARM.D.

• Diagnostic Radiology Physician in Novato, CA
• Providers in Novato, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.

Verify at the official NPI Registry.