Mr Christopher John Gordon Chisholm, MD in Poway, CA

Mr Christopher John Gordon Chisholm, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Poway, California. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Banner - University Hospital Based Physicians Llc, Zachary C Cohen Md Apc and his current practice location is 15725 Pomerado Rd, Suite 107, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 453-7700.

Mr Christopher John Gordon Chisholm is licensed to practice in California (license number A86646) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538173950.

Contact Information

	Mr Christopher John Gordon Chisholm, MD
	15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068
	(858) 453-7700
	(858) 947-3828

Map and Direction

Physician's Profile

Full Name	Mr Christopher John Gordon Chisholm
Gender	Male
Speciality	Anesthesiology
Experience	26 Years
Location	15725 Pomerado Rd, Poway, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Christopher John Gordon Chisholm graduated from medical school in 2000

NPI Data:

NPI Number: 1538173950
Provider Enumeration Date: 07/28/2006
Last Update Date: 06/12/2025

Medicare PECOS Information:

PECOS PAC ID: 3577534593
Enrollment ID: I20240625004078

Medical Identifiers

Medical identifiers for Mr Christopher John Gordon Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538173950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	A86646 (California)	Primary
207LP2900X	Anesthesiology - Pain Medicine	67636 (Arizona)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	A86646 (California)	Secondary
207L00000X	Anesthesiology	67636 (Arizona)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	A86646 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Hospital Based Physicians Llc	1052614294	349
Zachary C Cohen Md Apc	6608260179	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Christopher John Gordon Chisholm allows following entities to bill medicare on his behalf.

Entity Name	Banner - University Hospital Based Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher John Gordon Chisholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Christopher John Gordon Chisholm, MD Po Box 501724, San Diego, CA 92150-1724 Ph: (619) 894-1975	Mr Christopher John Gordon Chisholm, MD 15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068 Ph: (858) 453-7700

Reviews and Comments

Anesthesiology Doctors in Poway, CA

Dr. William Lowell Nelson Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13439 Calle Colina, Poway, CA 92064 Phone: 858-385-9064
Lakshmi S Sundblad, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd Ste E2, Poway, CA 92064 Phone: 858-521-0031
Patricia Johnson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd, Ste E2, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-421-0912
Michael Nussbaum, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-521-0912

Mr Christopher John Gordon Chisholm, MD - Medicare Anesthesiology in Poway, CA