NPIMap

Individual provider Active NPI

Matthew Gordon, MD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1003266032
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19265 Issued in NV
Practice address
10539 Professional Cir Ste 200
Reno, NV 89521
Phone
(775) 445-7022
Fax
(775) 828-2344
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 19265 NV Primary

Addresses

Primary practice location

10539 Professional Cir Ste 200
Reno, NV 89521

Mailing address

10539 Professional Cir Ste 200
Reno, NV 89521-3858
Phone (775) 445-7026

Other practice location 1

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 839-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002356 NV Practitioner - Family Practice 7416240577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians

Practice addresses (Care Compare)

10539 Professional Cir
Suite 200
Reno, NV 89521-3858
Phone (775) 445-7650

Hospital & facility affiliations

  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19265NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Oct 1, 2020 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Sep 23, 2019 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Oct 1, 2020 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

900 E Long St
Carson City, NV 89706
Phone (775) 884-7000

1201 S Carson St
Carson City, NV 89701
Phone (775) 445-7330

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/slyonmc-f91dd0a4
  • Direct secure messaging: mgordon422181@direct.med.utah.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1003266032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10539 PROFESSIONAL CIR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213858",
            "telephone_number": "775-445-7026",
            "fax_number": "775-828-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10539 PROFESSIONAL CIR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-445-7022",
            "fax_number": "775-828-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016223",
            "country_code": "US",
            "telephone_number": "715-839-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "19265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.