MITCHELL THOR GUDMUNDSSON M.D. NPI 1558503359

NPI Information

  • NPI: 1558503359
  • Provider Name: MITCHELL THOR GUDMUNDSSON, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 W. ARBOR DRIVE
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 944-2347

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NPI Details

Mitchell Thor Gudmundsson, M.D. is a vascular and interventional radiology radiology in San Diego, CA with 16 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Mitchell Thor Gudmundsson, M.D. NPI is 1558503359. 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:

200 W. ARBOR DRIVE
SAN DIEGO, CA
ZIP 92103-756
Phone: (619) 944-2347

The NPI 1558503359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 3/25/2009 and was last updated on 3/31/2015.

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
12085R0204XRadiologyVascular & Interventional Radiology115317CALIFORNIAYes

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: 3/30/2025

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