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CODY-AARON GATHERS M.D.
NPI 1790216646
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

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: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2020, Mar 22, 2017 (2 updates tracked since 2017).

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 critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT219842) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790216646
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameCODY-AARON GATHERSCredential: M.D.
Location Address3401 CIVIC CENTER BLVD., DIVISION OF CRITICAL CAREPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Critical CarePhiladelphia, PA 19104 · (267) 426-2958
Phone(267) 426-2958
Sole ProprietorYes
Enumeration DateMarch 22, 2017
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1790216646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MT219842
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD., Philadelphia, PA 19104
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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)

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 Critical Care Medicine, with taxonomy code 2080P0203X.

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 June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.