DR. JORDAN GOTWALT-BISH MD
NPI 1629864269
Emergency Medicine in Tucson, AZ

Q: What is Jordan Gotwalt-bish's NPI number?

The NPI number for Jordan Gotwalt-bish is 1629864269. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Q: What is Jordan Gotwalt-bish's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since April 18, 2025PECOS Enrolled

1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-8888 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jordan Gotwalt-bish Md NPPES

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

DR. JORDAN GOTWALT-BISH MD (NPI 1629864269) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (R81569) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629864269

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. JORDAN GOTWALT-BISHCredential: MD

Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330

Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-8888

Phone(520) 694-8888

Sole ProprietorYes

Enumeration DateApril 18, 2025

Last NPPES UpdateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1629864269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AZ · R81569

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1625 N CAMPBELL AVE, Tucson, AZ 85719

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Gotwalt-bish Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN DESALVO MD

Pediatrics