Individual provider Active NPI

Kara L Gordon, DPM, MBA

  • Podiatrist
  • Hereford, AZ
National Provider Identifier
1962466862
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0553 Issued in AZ
Practice address
10524 E Highway 92
Hereford, AZ 85615-8371
Phone
(520) 459-3339
Fax
(520) 459-3342
NPI assigned
Apr 17, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0553 AZ Primary

Addresses

Primary practice location

10524 E Highway 92
Hereford, AZ 85615-8371

Mailing address

10524 E Highway 92
Hereford, AZ 85615-8371
Phone (520) 459-3339

Other identifiers 4

IdentifierTypeStateIssuer
5591608001OtherCIGNA
7253307OtherAETNA
AZ0194810OtherAZBCBS OF AZ
642662MedicaidAZ

Other names 1

  • Dr. Kara L Montes Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001456 AZ Practitioner - Podiatry 1658364641 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Practice addresses (Care Compare)

10524 E Hwy 92
Hereford, AZ 85615-8371
Phone (520) 366-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
0553AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Diabetes Center, LLC CurrentSince Feb 1, 2026 Accepting new patients
I Am Wellness Az LLC CurrentSince Feb 1, 2026 Accepting new patients
Bisbee Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Bmi423I CurrentSince Feb 1, 2026 Accepting new patients
Bisbee Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Maria Gonzalez Berlari, MD LLC CurrentSince Feb 1, 2026 Accepting new patients
Progressive Pain Management Inc CurrentSince Feb 1, 2026 Accepting new patients
Michael F Esber DPM PC CurrentSince Feb 1, 2026 Accepting new patients
Copper Queen Medical Associates Douglas CurrentSince Aug 1, 2020 Accepting new patients
Bisbee Hospital Association Past Accepting new patients
Bisbee Hospital Association Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

604 W Warner Rd
Ste E201
Chandler, AZ 85225
Phone (480) 963-7900

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

100 W 5th St
Douglas, AZ 85607
Phone (520) 364-7659

10524 E Highway 92
Hereford, AZ 85615
Phone (520) 366-0300

535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

11323 W Bell Rd
Surprise, AZ 85378

Organizations & group practices 11

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1962466862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 E HIGHWAY 92",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158371",
            "telephone_number": "520-459-3339",
            "fax_number": "520-459-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 E HIGHWAY 92",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158371",
            "telephone_number": "520-459-3339",
            "fax_number": "520-459-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5591608001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7253307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0194810",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "MONTES",
            "middle_name": "L",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hereford, AZ

Sources for this page

Verify at the official NPI Registry.