DR. GORDON L MORTENSEN M.D. NPI 1407830862

NPI Information

  • NPI: 1407830862
  • Provider Name: DR. GORDON L MORTENSEN, M.D.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • Address: 2900 W OKLAHOMA AVE
    MILWAUKEE, WI
    ZIP 53215
  • Phone: (414) 649-6000

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NPI Details

DR. Gordon L Mortensen, M.D. is a pain medicine anesthesiology in Milwaukee, WI. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Gordon L Mortensen, M.D. NPI is 1407830862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53215-330
Phone: (414) 649-6000

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 11/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology26157-020WISCONSINNo
2207LP2900XAnesthesiologyPain Medicine26157-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10015-73550MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
20029-73510MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
3E30812MEDICARE UPINWISCONSIN
40008-01185MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER
530723700MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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