ALAN RUSS GOTTLIEB (MD) – Emergency Medicine Physician, NPI 1306837521

ALAN RUSS GOTTLIEB (MD) is a healthcare provider. based in Modesto, California. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A34546 (CA). The NPI Number for ALAN RUSS GOTTLIEB (MD) is 1306837521

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
ALAN RUSS GOTTLIEB (MD)
NPI
1306837521
Phone
(209) 342-2300
Address
4301 NORTHSTAR WAY
Enumeration Date
4 November 2005
Last Update Date
11 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9252976396
Graduation Year
1978 (48 years ago)
PAC ID
6406946383
Group Practice PAC ID
1850528530
Professional Enrollment ID
I20080721000415
Address ID
CA945493515LA3799XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Loading map...

Provider Addresses for ALAN RUSS GOTTLIEB (MD)

  • 4301 NORTHSTAR WAY

    MODESTO, CA 953569262

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Mailing

  • Eden Medical Center, 20103, Lake Chabot Road, Castro Valley, Alameda County, California, 94546, United States

    CASTRO VALLEY, CA 945465341

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080721000415IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes317251$0
99204New patient office or other outpatient visit, 45-59 minutes185185$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen174161$0
81003Automated urinalysis test6156$0
99213Established patient office or other outpatient visit, 20-29 minutes5242$0
View full utilization report →

Insurance plans in this area (ZIP 95356)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850528530View full group profile
NameSpecialtyState
Physician AssistantCA
-CA
Physician AssistantCA
Physician AssistantCA
-CA
Physician AssistantCA
-CA
Emergency MedicineCA
Nurse PractitionerCA
-CA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to ALAN RUSS GOTTLIEB (MD)?
The federal identifier for ALAN RUSS GOTTLIEB (MD) is NPI 1306837521.
Is ALAN RUSS GOTTLIEB (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ALAN RUSS GOTTLIEB (MD) work in?
You can think of ALAN RUSS GOTTLIEB (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ALAN RUSS GOTTLIEB (MD)?
We surface Modesto, California for ALAN RUSS GOTTLIEB (MD) based on available NPPES addresses.
Is ALAN RUSS GOTTLIEB (MD) a real provider?
This page reflects official NPPES data for NPI 1306837521. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

JOHN JOSEPH GALLO (M.D.)

Emergency Medicine Physician
1451, Rocky Ridge Drive, Roseville, Placer County, California, 95661, United States
NPI: 1003812751

CYNTHIA BILLMEYER CLARK (MD)

Emergency Medicine Physician
4301 NORTHSTAR WAY
NPI: 1144219767

MORGAN CLARK CAMP (MD)

Emergency Medicine Physician
4301 NORTHSTAR WAY
NPI: 1407845738

PETER YIP (M.D.)

Emergency Medicine Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1780674176

GIACOMO RUOSI (MD)

Emergency Medicine Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1730179136

PHOENIX EMERGENCY PHYSICIANS

Emergency Medicine Physician
San Leandro Hospital, 13855, East 14th Street, San Leandro, Alameda County, California, 94578, United States
NPI: 1689665317

KENNETH SATOSHI KUMAMOTO (MD)

Emergency Medicine Physician
4301 NORTHSTAR WAY
NPI: 1760473482

JAMES KENNETH KEANEY (MD)

Emergency Medicine Physician
San Leandro Hospital, 13855, East 14th Street, San Leandro, Alameda County, California, 94578, United States
NPI: 1700877420

ANTHONY MICHAEL IV MONTEFUSCO

Emergency Medicine Physician
San Leandro Hospital, 13855, East 14th Street, San Leandro, Alameda County, California, 94578, United States
NPI: 1104817972