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GORDON GARY KOLTIS M.D.
NPI 1508860545
Radiology - Radiation Oncology in Apex, NC

Active since June 08, 2005
519 DEMOCRACY PL FL 2, APEX, NC 27523(252) 916-1778(919) 362-0717 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gordon Gary Koltis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON GARY KOLTIS M.D. (NPI 1508860545) is an individual radiation oncology provider in Apex, North Carolina, licensed in North Carolina (33390) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1508860545
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameGORDON GARY KOLTISCredential: M.D.
Location Address519 DEMOCRACY PL FL 2Apex, NC 27523-5793
Mailing AddressPo Box 725Apex, NC 27502-0725 · (252) 916-1778 · Fax (919) 362-0717
Phone(252) 916-1778
Fax(919) 362-0717
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1508860545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in NC · 33390✔ Licensed in CA · G86259✔ Licensed in FL · ME-0051462
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 247085 (WI), MD-035235-E (PA)
519 DEMOCRACY PL FL 2, Apex, NC 27523
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Other Identifiers 6

Other49898NC · Bcbs
Other24-00059NC · United Healthcare
Other9421363-001NC · Cigna
OtherP00612668NC · Railroad Medicare Ptan
Medicaid8949898NC
Other30013692NC · Railroad Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Koltis's NPI number?

The NPI number for Gordon Koltis is 1508860545. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Gordon Koltis located?

Gordon Koltis practices at 519 Democracy Pl Fl 2, Apex, NC 27523. The listed phone number is (252) 916-1778.

What is Gordon Koltis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Gordon Koltis was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.