Ruth Gordon, MD
Individual provider Active NPI Emergency Medicine Physician · Kendallville, IN
NPI 1023675790 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1023675790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 74710 (AZ)
- Practice address
- 401 N Sawyer Rd
Kendallville, IN 46755-2568 - Phone
- (260) 482-4440
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vituity-Massachusetts PLLC
Practice addresses (Care Compare)
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000
Hospital & facility affiliations
- Mercy Medical Ctr
- Upmc Williamsport
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.87 of 100
- Quality
- 95.04
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in VA, MA, AZ, CT, PA, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230918003805 | VA | Practitioner - Emergency Medicine | 6901229541 | |
| I20240926002183 | MA | Practitioner - Emergency Medicine | 6901229541 | Reassigns benefits to 2 organizations |
| I20241017000803 | AZ | Practitioner - Emergency Medicine | 6901229541 | Reassigns benefits to 1 organization |
| I20250401000224 | CT | Practitioner - Emergency Medicine | 6901229541 | Reassigns benefits to 1 organization |
| I20260508001436 | PA | Practitioner - Emergency Medicine | 6901229541 | Reassigns benefits to 1 organization |
| I20260623001439 | IN | Practitioner - Emergency Medicine | 6901229541 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74710 | AZ | MD | Emergency Medicine Physician |
| 1024343 | MA | MD | Emergency Medicine Physician |
| 262589 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Arizona LLP | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current |
Accepting new patients |
| Vituity-Massachusetts PLLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Professional Emergency Physicians PC | Emergency Medicine | Past |
Accepting new patients |
| Interventional Pain Consultants, LLC | Past |
Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Interoperability endpoints
- rgordon4080215@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1024343 | MA | |
| Emergency Medicine Physician | 207P00000X | 74710 | AZ | Yes |
| Emergency Medicine Physician | 207P00000X | 262589 | NC | |
| Emergency Medicine Physician | 207P00000X | 01096886A | IN | |
| Emergency Medicine Physician | 207P00000X | 036175445 | IL |
Addresses
Primary practice location
401 N Sawyer Rd
Kendallville, IN 46755-2568
Mailing address
608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 482-4440
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200
Other providers in Kendallville, IN
- Shelby Frank
- Christopher P. Frazier
- Jessica Gardner
- Genoa Healthcare LLC
- Kalee Givens
- Matthew Grossman
- Sonia Hall
- Nicole Lee Hamer
- Harrison County Hospital
- Catherine Hause
All providers in Kendallville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.