Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY-AARON GATHERS M.D.
NPI 1790216646
Pediatrics - Pediatric Cardiology in Philadelphia, PA

Q: What is Cody-aaron Gathers's NPI number?

The NPI number for Cody-aaron Gathers is 1790216646. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Cody-aaron Gathers's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since March 22, 2017PECOS Enrolled

3401 CIVIC CENTER BLVD., DIVISION OF CRITICAL CARE, PHILADELPHIA, PA 19104(267) 426-2958 Get Directions Write a Review

NPPES record last updated: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 13, 2026, Jun 25, 2020, Mar 22, 2017 (3 updates tracked since 2017).

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About Cody-aaron Gathers M.d. NPPES

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

CODY-AARON GATHERS M.D. (NPI 1790216646) is an individual pediatric cardiology provider in Philadelphia, Pennsylvania, licensed in Ohio (35.157166) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1790216646

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameCODY-AARON GATHERSCredential: M.D.

Location Address3401 CIVIC CENTER BLVD., DIVISION OF CRITICAL CAREPhiladelphia, PA 19104

Mailing Address3333 Burnet AveCincinnati, OH 45229-3026 · (513) 636-4200

Phone(267) 426-2958

Sole ProprietorYes

Enumeration DateMarch 22, 2017

Last NPPES UpdateSeptember 13, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2026

✔ NPI 1790216646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in OH · 35.157166

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License MT219842 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3401 CIVIC CENTER BLVD., Philadelphia, PA 19104

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Secondary Practice Location 1

Location 1840 Harrison Ave, Dowling 3 South Department of PediatricsBoston, MA 02118-2905 · Phone (617) 414-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody-aaron Gathers M.d. 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.

Other Providers at the Same Location NPPES 4

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

ROBERT BOYD

Pediatrics

3401 CIVIC CENTER BLVD., DEPARTMENT OF PEDIATRICS
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1220

MISS JOY C. KERR CRNP

Nurse Practitioner (Pediatrics)

3401 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-2754

SHWETA PRAVINKUMAR DAVID

Nurse Practitioner (Pediatrics)

3401 CIVIC CENTER BLVD., 6NE67
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1000

DR. LAURA ASHLEY TSURUKO KAGAMI MD

Pediatrics

3401 CIVIC CENTER BLVD., DIVISION OF GENERAL PEDIATRICS
PHILADELPHIA, PA 19104

Philadelphia County (215) 590-1220

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 Cody-aaron Gathers's NPI number?

The NPI number for Cody-aaron Gathers is 1790216646. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Cody-aaron Gathers located?

Cody-aaron Gathers practices at 3401 Civic Center Blvd. Division Of Critical Care, Philadelphia, PA 19104. The listed phone number is (267) 426-2958.

What is Cody-aaron Gathers's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Cody-aaron Gathers enrolled in Medicare?

Yes. Cody-aaron Gathers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody-aaron Gathers was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.